OrganizationActive
Higley Village Kidtastic, LLC
NPI 1447598495 · Pediatric Dentistry · Gilbert, AZ
Higley Village Kidtastic, LLC is a Pediatric Dentistry organization in Gilbert, AZ (NPI 1447598495).
Provider details
- NPI number
- 1447598495
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jaime Johnson, Controller(480) 648-4037
Practice location
3303 E Queen Creek Rd
Suite # 106
Gilbert, AZ 85297-8532
Phone: (480) 648-4037
Fax: (480) 696-5505
Street-level locationGet directions
Mailing address
4704 E Southern Ave
Mesa, AZ 85206-2737
Registry dates
- Enumerated
- 2013-01-25
- Last updated
- 2013-12-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.