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

Surprise Pediatric Dentistry, PC

Organization Dental Clinic/Center · NPI 1114462330

Surprise Pediatric Dentistry, PC is a Dental Clinic/Center in Surprise, Arizona. Licensed in Arizona. Registered with an NPI since 2016.

Licensed in
AZ
In the registry since
2016
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

15331 W Bell Rd Ste #112
Surprise, AZ 85374-4102
Phone: (602) 730-6481
Fax: (602) 730-6482
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence D008930 (AZ)

Record details

NPI number1114462330
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mathew Jensen — Dentist/Owner · (801) 656-7978
NPI enumeratedDecember 23, 2016
Last updated in NPPESDecember 23, 2016
Mailing address15331 W Bell Rd, Suite #112, Surprise, AZ 85374-4102

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