OrganizationActive
Suekko Management
NPI 1811227002 · General Practice Dentistry · Mesa, AZ
Provider details
- NPI number
- 1811227002
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Kimberly Mack, Owner(480) 231-7020
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
500 W Southern Ave
Suite 100
Mesa, AZ 85210-5016
Phone: (480) 962-0900
Fax: (480) 833-3336
Street-level locationGet directions
Mailing address
500 W Southern Ave
Mesa, AZ 85210-5016
Other names (DBA / former)
- Doing business as
- Country Club Smiles
Registry dates
- Enumerated
- 2010-01-11
- Last updated
- 2010-01-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.