OrganizationActive
Az Sds III LLC
NPI 1184500852 · Pediatric Dentistry · Phoenix, AZ
Provider details
- NPI number
- 1184500852
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Charlotte Dasch, Sr Director of Credentialing(504) 638-0303
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
4232 E Chandler Blvd Ste 10
Phoenix, AZ 85048-8879
Phone: (480) 759-1119
Approximate (ZIP-level) locationGet directions
Mailing address
1610 54th Ave N Ste 205
Nashville, TN 37209-1442
Registry dates
- Enumerated
- 2025-08-15
- Last updated
- 2025-08-15
- Certified
- 2025-08-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.