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

Lake Pleasant Dentistry PC

Organization Dentist · NPI 1093172561

Lake Pleasant Dentistry PC provides Dentist services in Peoria, Arizona. Licensed in Arizona. Registered with an NPI since 2016.

Licensed in
AZ
In the registry since
2016
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9059 W Lake Pleasant Pkwy Ste F 600
Peoria, AZ 85382-8336 Not confirmed with CMS for 10 years — call before visiting
Phone: (623) 825-5595
Fax: (623) 825-5129
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D5241 (AZ)

Record details

NPI number1093172561
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sharon Bader — Owner · (623) 825-5595
NPI enumeratedJanuary 28, 2016
Last updated in NPPESJanuary 28, 2016
Mailing address9059 W Lake Pleasant Pkwy, Ste F 600, Peoria, AZ 85382-8336

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