Summit Dental Specialty Pllc
Oral and Maxillofacial Pathology Clinic
15810 S 45th St Ste 120, Phoenix
Arizona, 85048-7695
480-893-3636 480-893-3635
Maps & DirectionsSummit Dental Specialty Pllc is a Oral and Maxillofacial Pathology Clinic in Phoenix, Arizona. It is located at 15810 S 45th St Ste 120, Phoenix, AZ and its contact number is 480-893-3636. The authorized person for Summit Dental Specialty Pllc is Shiela Dominguez
who is Managing Member of the clinic and their contact number is 480-669-6419. The primary license number for Summit Dental Specialty Pllc is D9064 (Endodontics) in Arizona.
Summit Dental Specialty Pllc Clinic is specialized in that branch of dentistry and pathology which deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.
Complete Clinic Profile:
Summit Dental Specialty Pllc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Summit Dental Specialty Pllc |
| Specialization: | Oral and Maxillofacial Pathology |
| Clinic Address: | 15810 S 45th St Ste 120, Phoenix,
Arizona, 85048-7695 |
| Phone: | 480-893-3636 |
| Fax: | 480-893-3635 |
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: | Shiela Dominguez |
| Position: | Managing Member |
| Contact Number: | 480-669-6419 |
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 Summit Dental Specialty Pllc clinic are as mentioned below.
| NPI Number: | 1871018887 |
| NPI Enumeration Date: | 10 Aug, 2017 |
| NPI Last Update On: | 21 Jul, 2022 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Summit Dental Specialty Pllc are as mentioned below.
| Specialization | License Number | State | Status | |
| Endodontics | D9064 | Arizona | Primary | |
| Oral and Maxillofacial Pathology | D06147 | Arizona | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Summit Dental Specialty Pllc
15810 S 45th St Ste 120,
Phoenix, Arizona |
| Zip: | 85048-7695 |
| Phone Number: | 480-893-3636 |
| Fax Number: | 480-893-3635 |
Patients can reach Summit Dental Specialty Pllc at
15810 S 45th St Ste 120, Phoenix, Arizona or can
call to book an appointment on 480-893-3636.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.