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

Dr. Tina Ptacek, DMD

Individual provider Pediatric Dentistry · NPI 1649403775

Dr. Tina Ptacek, DMD is a Pediatric Dentistry in Surprise, Arizona. Licensed in Arizona and Texas. Registered with an NPI since 2009.

Licensed in
AZ, TX
In the registry since
2009
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

15180 N Cotton Ln Ste 104
Surprise, AZ 85388-7000
Phone: (623) 214-6543
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence D7818 (AZ)
Pediatric Dentistry Taxonomy 1223P0221X · Licence 32491 (TX)

Record details

NPI number1649403775
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedAugust 24, 2009
Last updated in NPPESJune 3, 2020
Certification dateJune 3, 2020

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