OrganizationActive
Marketside Street Dental LLC
NPI 1952020612 · Pediatric Dentistry · Buckeye, AZ
Marketside Street Dental LLC is a Pediatric Dentistry organization in Buckeye, AZ (NPI 1952020612).
Provider details
- NPI number
- 1952020612
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jenny Garcia, Credentialing Lead(972) 869-3789
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
20800 W Market St Ste 103
Buckeye, AZ 85396-8040
Phone: (623) 401-9440
Street-level locationGet directions
Mailing address
Po Box 734753
Dallas, TX 75373-4753
Other names (DBA / former)
- Doing business as
- Sun Valley Pediatric Dentistry-Verrado
- Doing business as
- Sun Valley Pediatric Dentistry-Verrado
Registry dates
- Enumerated
- 2022-08-25
- Last updated
- 2022-09-29
- Certified
- 2022-09-29
Frequently asked questions
- What is Marketside Street Dental LLC's NPI number?
- Marketside Street Dental LLC's National Provider Identifier (NPI) is 1952020612, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Marketside Street Dental LLC?
- Marketside Street Dental LLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Marketside Street Dental LLC located?
- Marketside Street Dental LLC's practice location on file with NPPES is 20800 W Market St Ste 103, Buckeye, AZ 85396-8040.
- What is Marketside Street Dental LLC's phone number?
- The practice phone number listed in the NPPES registry for Marketside Street Dental LLC is (623) 401-9440.
- Who is the authorized official for Marketside Street Dental LLC?
- The authorized official listed on Marketside Street Dental LLC's NPPES record is Jenny Garcia, Credentialing Lead. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Marketside Street Dental LLC's NPI active?
- Yes — Marketside Street Dental LLC's NPI (1952020612) is active in the NPPES registry as of the last update on 2022-09-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.