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

Mesa Kidtastic Dental LLC

Organization Pediatric Dentistry · NPI 1942841663

Mesa Kidtastic Dental LLC is a Pediatric Dentistry in Mesa, Arizona. Registered with an NPI since 2019.

In the registry since
2019
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

1240 W Southern Ave Ste 112
Mesa, AZ 85202-4882
Phone: (403) 733-5437
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1942841663
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Faith Gaskins — Director Of Credentialing · (972) 869-3789
NPI enumeratedOctober 3, 2019
Last updated in NPPESOctober 3, 2019
Mailing address1240 W Southern Ave Ste 112, Mesa, AZ 85202-4882

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