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

Phoenix Pediatric Dental, LLC

Organization Pediatric Dentistry · NPI 1891875498

Phoenix Pediatric Dental, LLC is a Pediatric Dentistry in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006
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

6750 N 19th Ave
Phoenix, AZ 85015-1127
Phone: (602) 242-5741
Fax: (602) 242-5742
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X (AZ)

Record details

NPI number1891875498
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Luz Pacheco — Business Manager · (602) 242-5741
NPI enumeratedOctober 17, 2006
Last updated in NPPESDecember 23, 2014
Mailing address6750 N 19th Ave, Phoenix, AZ 85015-1127

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