| Organization Name: | SWEET PEADIATRIC DENTISTRY, PLLC |
| NPI Number: | 1366817967 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NIKKI DEJBOD (DENTIST/OWNER) |
| Mailing Address: | 15990 S Rancho Sahuarita Blvd Ste 110 Sahuarita |
| State: | AZ US |
| Postal Code: | 856298022 |
| Phone Number: | 2539882828 |
| Fax Number: | |
| NPI Enumeration Date: | 12/08/2015 |
| NPI Last Update Date: | 12/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 9171 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |