Organization
KIDIATRIC DENTISTRY, PLLC
Active
Other names
Kidiatric Dentistry, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER VILLANUEVA D.D.S. (PEDIATRIC DENTIST/OWNER)
(602) 418-1592
Entity
Organization
Contact information
Practice address
913 E WARNER RD, GILBERT, AZ 85296-3078
(602) 418-1599
Mailing address
913 E WARNER RD, GILBERT, AZ 85296-3078
(602) 418-1599
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D7782
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
436424
—
AZ
Enumeration date
09/09/2011
Last updated
09/09/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up