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

Modern Dental Professionals - Arizona PC

Organization General Practice Dentistry · NPI 1063789816

Modern Dental Professionals - Arizona PC is a General Practice Dentistry in Mesa, Arizona. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1855 S Country Club Dr Ste 101
Mesa, AZ 85210-6037
Phone: (714) 428-2000
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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 number1063789816
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roy Smith — President · (714) 428-2000
Other names Brightnow Mesa Country Club Dr
NPI enumeratedNovember 22, 2011
Last updated in NPPESNovember 22, 2011
Mailing address1855 S Country Club Dr, Ste 101, Mesa, AZ 85210-6037

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