=====================================================
General NPI Number Information
=====================================================
NPI Number | 1538005848
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | VALENCIA DENTAL CARE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/28/2026
-----------------------------------------------------
Last Update Date | 04/28/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1635 N GREENFIELD RD 119
-----------------------------------------------------
City | MESA
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85205
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 480-219-1933
-----------------------------------------------------
Fax | 480-248-7117
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1635 N GREENFIELD RD 119
-----------------------------------------------------
City | MESA
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85205
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 480-219-1933
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MATTHEW ROPER
-----------------------------------------------------
Credential | DMD
-----------------------------------------------------
Telephone | 480-963-9900
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1223G0001X
-----------------------------------------------------
Taxonomy Name | General Practice Dentistry
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------