Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Arizona Pediatric Dentistry and Orthodontic

Organization Pediatric Dentistry · NPI 1619021490

Arizona Pediatric Dentistry and Orthodontic provides Pediatric Dentistry in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007

Practice location Address checks out

4145 N 108th Ave Bldg K-101
Phoenix, AZ 85037-5463
Phone: (623) 344-2000
Fax: (623) 344-2007
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence D3801 (AZ)

Record details

NPI number1619021490
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shashi Kapur — Owner · (623) 344-2000
NPI enumeratedJanuary 22, 2007
Last updated in NPPESAugust 22, 2020
Mailing address4145 N 108th Ave, Bldg K-101, Phoenix, AZ 85037-5463

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