OrganizationActive
Az Specialty Dental Services, LLC
NPI 1679313407 · Pediatric Dentistry · Mesa, AZ
Provider details
- NPI number
- 1679313407
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Parent organization
- Az Specialty Dental Services, LLC
- Authorized official
- Charlotte Dasch, Director of Cred and Pr
Mailing address
1610 54th Ave N Ste 205
Nashville, TN 37209-1442
Registry dates
- Enumerated
- 2024-05-29
- Last updated
- 2024-05-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.