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

Kasey Hendricks, DDS

Individual provider Dentist · NPI 1811419930

Kasey Hendricks, DDS is a Dentist in Mesa, Arizona. Licensed in Arizona and Idaho. Registered with an NPI since 2017.

Licensed in
AZ, ID
In the registry since
2017
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

1245 E Southern Ave Ste 12
Mesa, AZ 85204-5138
Phone: (208) 206-8628
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D010145 (AZ)
Dentist Taxonomy 122300000X · Licence D-4856 (ID)

Record details

NPI number1811419930
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 11, 2017
Last updated in NPPESMarch 8, 2023
Certification dateMarch 8, 2023
Mailing address4498 E Dublin St, Gilbert, AZ 85295-5862

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