Individual provider Active NPI

Dallin Reed Snow, D.M.D.

  • General Practice Dentistry
  • Mesa, AZ
National Provider Identifier
1881007821
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D008947 Issued in AZ
Practice address
4420 E Baseline Rd
Mesa, AZ 85206-4681
Phone
(480) 982-7289
NPI assigned
Jun 6, 2014
Last updated
Jul 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D008947 AZ Primary

Addresses

Primary practice location

4420 E Baseline Rd
Mesa, AZ 85206-4681

Mailing address

4713 E Grove Cir
Mesa, AZ 85206-3369
Phone (480) 272-5308

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150929003313 AZ Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6204144900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Snow Family Smiles LLC CurrentSince Jun 23, 2025 Accepting new patients

Locations

4420 E Baseline Rd
Mesa, AZ 85206
Phone (480) 982-7289

4540 E Baseline Rd
Ste 110
Mesa, AZ 85206
Phone (480) 764-2111

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1402012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1881007821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4713 E GROVE CIR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852063369",
            "telephone_number": "480-272-5308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 E BASELINE RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064681",
            "telephone_number": "480-982-7289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNOW",
        "first_name": "DALLIN",
        "middle_name": "REED",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-06",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D008947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.