Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TINA PTACEK, DMD
ActiveDR. TINA PTACEK, DMD is a Pediatric Dentistry healthcare provider located in SURPRISE, Arizona. NPI 1649403775 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · SURPRISE, AZ
Registration Details
- NPI Number
- 1649403775
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 24, 2009 (17.016520979159 yrs)
- Last Updated
- Jun 3, 2020
- Licenses
-
32491 (TX)D7818 (AZ)
Practice Information
- Address
-
15180 N COTTON LN STE 104SURPRISE, AZ, 853887000Browse AZ providers · Browse ZIP 85388
- Phone
- 6232146543
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
- Additional Specialty
- Pediatric Dentistry
Other Pediatric Dentistry Providers in SURPRISE, AZ
| Name | Credential | NPI |
|---|---|---|
| DR. MATTHEW O. JENSEN | DMD | 1982703427 |
| RACHAEL MADDOX | DMD | 1033848809 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.