Dentistry for Children PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

5678 Issued in AZ

Legal business name

DENTISTRY FOR CHILDREN PLLC

Practice address

1245 E Southern Ave
Ste 12
Mesa, AZ 85204-5137

Phone

(480) 610-6544

Fax

(480) 633-0670

NPI assigned

Apr 25, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sharron Keene

Title

Office Supervisor

Phone

(480) 610-6544

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Michelle Larsen, D.D.S.

  • Dentist
  • Mesa, AZ
  • NPI 1114010188
  NPD (past)
• Angela Shanthini Ratnam, D.D.S.

  • Pediatric Dentistry
  • Mesa, AZ
  • NPI 1891888772
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1154540367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 E SOUTHERN AVE",
            "address_2": "STE 12",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045137",
            "telephone_number": "480-610-6544",
            "fax_number": "480-633-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 E SOUTHERN AVE",
            "address_2": "STE 12",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045137",
            "telephone_number": "480-610-6544",
            "fax_number": "480-633-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTRY FOR CHILDREN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "KEENE",
        "authorized_official_first_name": "SHARRON",
        "authorized_official_title_or_position": "OFFICE SUPERVISOR",
        "authorized_official_telephone_number": "480-610-6544"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "5678",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AZ",
            "license": "5589",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dental One, Inc.
• Dental One, Inc.
• Dental One, Inc.
• Dental Progressions PLLC
• Dental Specialty Group Inc
• Dentistry Group Foundation, LLC
• Dentists of Mesa, LLP
• Dentists of North Mesa, LLP
• Sharla Denton, BHP
• Denver J. Palmer, D.M.D., P.C.

• All providers in Mesa, AZ
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.