Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Copper State Dentistry LLC

Organization General Practice Dentistry · NPI 1760264816

Copper State Dentistry LLC is a General Practice Dentistry in Gilbert, Arizona. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

857 E Warner Rd Ste 103
Gilbert, AZ 85296-3076
Phone: (480) 690-5200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1760264816
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kyle Womeldorff — Owner · (480) 690-5200
NPI enumeratedOctober 13, 2023
Last updated in NPPESOctober 13, 2023
Certification dateOctober 13, 2023
Mailing address14242 S 47th St, Phoenix, AZ 85044-6205

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