OrganizationActive
Summit Dental Specialty PLLC
NPI 1871018887 · Endodontics · Phoenix, AZ
Summit Dental Specialty PLLC is a Endodontics organization in Phoenix, AZ (NPI 1871018887).
Provider details
- NPI number
- 1871018887
- Entity type
- Organization
- Primary specialty
- EndodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Shiela Dominguez, Managing Member(480) 669-6419
- License
- D06147 (AZ)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
15810 S 45th St Ste 120
Phoenix, AZ 85048-7695
Phone: (480) 893-3636
Fax: (480) 893-3635
Street-level locationGet directions
Mailing address
15810 S 45th St Ste 120
Phoenix, AZ 85048-7695
Registry dates
- Enumerated
- 2017-08-10
- Last updated
- 2022-07-21
Frequently asked questions
- What is Summit Dental Specialty PLLC's NPI number?
- Summit Dental Specialty PLLC's National Provider Identifier (NPI) is 1871018887, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Summit Dental Specialty PLLC?
- Summit Dental Specialty PLLC is classified in the NPPES registry as Endodontics (Dental Providers).
- Where is Summit Dental Specialty PLLC located?
- Summit Dental Specialty PLLC's practice location on file with NPPES is 15810 S 45th St Ste 120, Phoenix, AZ 85048-7695.
- What is Summit Dental Specialty PLLC's phone number?
- The practice phone number listed in the NPPES registry for Summit Dental Specialty PLLC is (480) 893-3636.
- Who is the authorized official for Summit Dental Specialty PLLC?
- The authorized official listed on Summit Dental Specialty PLLC's NPPES record is Shiela Dominguez, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Summit Dental Specialty PLLC's NPI active?
- Yes — Summit Dental Specialty PLLC's NPI (1871018887) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.