is a Pediatric Dental Clinic in Mesa, Arizona. It is located at 1810 S Crismon Rd, Ste 189, Mesa, AZ and its contact number is 480-503-3764. The authorized person for is Dr. Joel R Clark
who is Dds of the clinic and their contact number is 480-503-3764. Other organizations associated with this clinic are Bplarrabee Incorporated, A2zpd Llc, The primary license number for is 5179 (Pediatric Dentistry) in Arizona. Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Specialization:
Pediatric Dentistry
Clinic Address:
1810 S Crismon Rd, Ste 189, Mesa, Arizona, 85209-3717
Phone:
480-503-3764
Fax:
480-380-0336
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Joel R Clark
Position:
Dds
Contact Number:
480-503-3764
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for clinic are as mentioned below.
NPI Number:
1730498320
NPI Enumeration Date:
29 Sep, 2010
NPI Last Update On:
16 Jan, 2014
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
Name
Specialization
NPI Number
Bplarrabee Incorporated
Orthodontics and Dentofacial Orthopedics
1114022613
A2zpd Llc
Pediatric Dentistry
1730498320
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
5179
Arizona
Primary
Pediatric Dentistry
7725
Arizona
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
408928
Medicaid
Arizona
558133
Medicaid
Arizona
713546
Medicaid
Arizona
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1810 S Crismon Rd, Ste 189 Mesa, Arizona
Zip:
85209-3717
Phone Number:
480-503-3764
Fax Number:
480-380-0336
Patients can reach at 1810 S Crismon Rd, Ste 189, Mesa, Arizona or can call to book an appointment on 480-503-3764. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.