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

Summit Dental Specialty PLLC

Organization Endodontics · NPI 1871018887

Summit Dental Specialty PLLC is an Endodontics in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2017.

Licensed in
AZ
In the registry since
2017
Specialties on file
2
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

15810 S 45th St Ste 120
Phoenix, AZ 85048-7695
Phone: (480) 893-3636
Fax: (480) 893-3635
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X · Licence D9064 (AZ)
Oral and Maxillofacial Pathology Dentistry Taxonomy 1223P0106X · Licence D06147 (AZ)

Record details

NPI number1871018887
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shiela Dominguez — Managing Member · (480) 669-6419
NPI enumeratedAugust 10, 2017
Last updated in NPPESJuly 21, 2022
Mailing address15810 S 45th St Ste 120, Phoenix, AZ 85048-7695

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