| My Pediatric Dentist Pllc | |
|
5215 E Southern Ave Mesa AZ 85206-2777 | |
| (480) 833-2232 | |
| Not Available |
| Full Name | My Pediatric Dentist Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 5215 E Southern Ave, Mesa, Arizona |
| Authorized Official Name and Position | Austin Mchenry (PARTNER) |
| Authorized Official Contact | 6023847506 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Pediatric Dentist Pllc 2045 S Vineyard Ste 153 Mesa AZ 85210-6892 Ph: () - | My Pediatric Dentist Pllc 5215 E Southern Ave Mesa AZ 85206-2777 Ph: (480) 833-2232 |
| NPI Number | 1063374593 |
|---|---|
| Provider Enumeration Date | 12/02/2025 |
| Last Update Date | 12/02/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063374593 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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