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

My Pediatric Dentist PLLC

Organization Pediatric Dentistry · NPI 1063374593

My Pediatric Dentist PLLC is a Pediatric Dentistry in Mesa, Arizona. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5215 E Southern Ave
Mesa, AZ 85206-2777
Phone: (480) 833-2232
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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 number1063374593
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Austin McHenry — Partner · (602) 384-7506
NPI enumeratedDecember 2, 2025
Last updated in NPPESDecember 2, 2025
Certification dateDecember 2, 2025
Mailing address2045 S Vineyard Ste 153, Mesa, AZ 85210-6892

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