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

Ty Standage, DMD

Individual provider Dentist · NPI 1417882853

Ty Standage, DMD is a Dentist in Mesa, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2026
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

1744 E Enrose St
Mesa, AZ 85203-5827
Phone: (480) 553-1630
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D012861 (AZ)

Record details

NPI number1417882853
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJune 16, 2026
Last updated in NPPESJune 16, 2026
Certification dateJune 16, 2026
Mailing address1744 E Enrose St, Mesa, AZ 85203-5827

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