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

Dr. Kenneth Tasker, DMD

Individual provider Pediatric Dentistry · NPI 1164881116

Dr. Kenneth Tasker, DMD is a Pediatric Dentistry in Queen Creek, Arizona. Practices as a sole proprietor. Licensed in Arizona and New Mexico.

Licensed in
AZ, NM
In the registry since
2016
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

40930 N Ironwood Dr Ste 113-115
Queen Creek, AZ 85140-8829
Phone: (480) 999-9091
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DD4853 (NM)
Pediatric Dentistry Taxonomy 1223P0221X · Licence D010615 (AZ)

Record details

NPI number1164881116
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedFebruary 18, 2016
Last updated in NPPESMay 16, 2023
Certification dateMay 16, 2023
Mailing address9201 Eagle Ranch Rd Nw, Albuquerque, NM 87114-6440

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