Provider record
Mesa Kidtastic Dental LLC
Mesa Kidtastic Dental LLC is listed in CMS NPPES as an organization record with a Pediatric Dentistry taxonomy. The record shows a practice location at 1240 W Southern Ave Ste 112, Mesa, AZ. NPPES also reports a phone number. Confirm current office details directly with the provider.
National Plan and Provider Enumeration System
CMS NPPES
Reported to NPPES
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We show source-reported CMS NPPES fields.
Confirm details directly with the provider.NPI and status
Source-labeled identifiers and reported record state.
- NPI
- 1942841663
- Entity type
- Organization
- NPPES status
- Reported active
- License status
- Not primary-source verified
Practice location
Practice address and phone as reported in CMS NPPES.
- Address
- 1240 W Southern Ave Ste 112
Mesa, AZ 85202-4882 - Phone
- (403) 733-5437
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- Confirm the office address and phone number directly with the provider.
- Use the NPI number when comparing this record with CMS NPPES.
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- Ask the office about insurance, appointments, services, and availability.
Nearby dentists
Approximate straight-line distance from this practice location.
Taxonomy and source
Specialty taxonomy is source-reported and not a quality or license determination.
- Taxonomy code
- 1223P0221X
- Specialty
- Pediatric Dentistry
- Source
- CMS NPPES
- Last updated
- July 12, 2026
Record actions
Contact and sources
Call the reported phone number or review how CMS NPPES fields are used.