Healthcare Provider Details

I. General information

NPI: 1538005848
Provider Name (Legal Business Name): VALENCIA DENTAL CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1635 N GREENFIELD RD 119
MESA AZ
85205
US

IV. Provider business mailing address

1635 N GREENFIELD RD 119
MESA AZ
85205
US

V. Phone/Fax

Practice location:
  • Phone: 480-219-1933
  • Fax: 480-248-7117
Mailing address:
  • Phone: 480-219-1933
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW ROPER
Title or Position: OWNER
Credential: DMD
Phone: 480-963-9900