OrganizationActive
Copper State Dentistry LLC
NPI 1760264816 · General Practice Dentistry · Gilbert, AZ
Copper State Dentistry LLC is a General Practice Dentistry organization in Gilbert, AZ (NPI 1760264816).
Provider details
- NPI number
- 1760264816
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Kyle Womeldorff, Owner(480) 690-5200
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
857 E Warner Rd Ste 103
Gilbert, AZ 85296-3076
Phone: (480) 690-5200
Street-level locationGet directions
Mailing address
14242 S 47th St
Phoenix, AZ 85044-6205
Registry dates
- Enumerated
- 2023-10-13
- Last updated
- 2023-10-13
- Certified
- 2023-10-13
Frequently asked questions
- What is Copper State Dentistry LLC's NPI number?
- Copper State Dentistry LLC's National Provider Identifier (NPI) is 1760264816, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Copper State Dentistry LLC?
- Copper State Dentistry LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Copper State Dentistry LLC located?
- Copper State Dentistry LLC's practice location on file with NPPES is 857 E Warner Rd Ste 103, Gilbert, AZ 85296-3076.
- What is Copper State Dentistry LLC's phone number?
- The practice phone number listed in the NPPES registry for Copper State Dentistry LLC is (480) 690-5200.
- Who is the authorized official for Copper State Dentistry LLC?
- The authorized official listed on Copper State Dentistry LLC's NPPES record is Kyle Womeldorff, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Copper State Dentistry LLC's NPI active?
- Yes — Copper State Dentistry LLC's NPI (1760264816) is active in the NPPES registry as of the last update on 2023-10-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.