Fiesta Kidtastics is a Pediatric Dental Clinic in Mesa, Arizona. It is located at 1303 S Longmore Ste 1, Mesa, AZ and its contact number is 480-648-4037. The authorized person for Fiesta Kidtastics is Ms. Jaime Johnson
who is Controller of the clinic and their contact number is 480-648-4037. Fiesta Kidtastics 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:
Fiesta Kidtastics Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Fiesta Kidtastics
Specialization:
Pediatric Dentistry
Clinic Address:
1303 S Longmore Ste 1, Mesa, Arizona, 85202-9607
Phone:
480-648-4037
Fax:
480-696-5505
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:
Ms. Jaime Johnson
Position:
Controller
Contact Number:
480-648-4037
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 Fiesta Kidtastics clinic are as mentioned below.
NPI Number:
1215281688
NPI Enumeration Date:
06 Nov, 2012
NPI Last Update On:
06 Dec, 2013
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Fiesta Kidtastics are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Fiesta Kidtastics 4704 E Southern Ave, Mesa, Arizona
Zip:
85206-2737
Phone Number:
480-648-4037
Fax Number:
480-696-5505
Patients can reach Fiesta Kidtastics at 1303 S Longmore Ste 1, Mesa, Arizona or can call to book an appointment on 480-648-4037. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.