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

Platinum Dental Spa PLLC

Organization Dental Clinic/Center · NPI 1124549191

Platinum Dental Spa PLLC is a Dental Clinic/Center in Peoria, Arizona. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

13660 N 94th Dr Ste B1
Peoria, AZ 85381-4848
Phone: (623) 977-2551
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1124549191
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrea Botar — Owner · (623) 977-2551
Other names Modern Dentistry Of Suncity; Modern Dentistry Of Suncity
NPI enumeratedJune 29, 2017
Last updated in NPPESJuly 21, 2022
Mailing address13660 N 94th Dr Ste B1, Peoria, AZ 85381-4848

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