Sweet Peadiatric Dentistry, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

9171 Issued in AZ

Legal business name

SWEET PEADIATRIC DENTISTRY, PLLC

Practice address

15990 S Rancho Sahuarita Blvd Ste 110
Sahuarita, AZ 85629-8022

Phone

(253) 988-2828

NPI assigned

Dec 8, 2015

Last updated

Dec 8, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nikki Dejbod, DDSNPI 1902183916

Title

Dentist/Owner

Phone

(253) 988-2828

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nikki Dejbod, DDS

  • Pediatric Dentistry
  • Tucson, AZ
  • NPI 1902183916
  NPD (past) Authorized official

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

{
    "created_epoch": "1449532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449532800000",
    "number": "1366817967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 W SAINT MARYS RD # 178",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857453107",
            "telephone_number": "253-988-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15990 S RANCHO SAHUARITA BLVD STE 110",
            "city": "SAHUARITA",
            "state": "AZ",
            "postal_code": "856298022",
            "telephone_number": "253-988-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEET PEADIATRIC DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-08",
        "last_updated": "2015-12-08",
        "status": "A",
        "authorized_official_last_name": "DEJBOD",
        "authorized_official_first_name": "NIKKI",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "253-988-2828",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AZ",
            "license": "9171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Leight Spears, CRNA
• Jodie L. Spencer
• John Spencer, M.D.
• Jordan Scott Steed, MSW
• Holly Jacobs Stevens
• Stephanie Tavares
• Tod Corwin Taysom, DMD
• Telehealth Behavioral Consultation Services LLC
• Timothy L. Templeton, O.D.
• The Arizona Center for Sleep Medicine

• Dental Clinic/Center in Sahuarita, AZ
• Providers in Sahuarita, AZ by specialty
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; 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.