South Mesa Dental Partners

NPI #1053693531 in Mesa, Arizona

Provider Information

NPI Number: 1053693531
Entity Type: Organization
Organization Name: South Mesa Dental Partners
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 12, 2011
Last Updated: Jan 14, 2026

Practice Location

Address: 1130 S. COUNTRY CLUB DR
Address 2: STE 101
City: Mesa
State: Arizona
ZIP Code: 85210-4639
Phone: (480) 461-9866

Authorized Official

Name: DR. TAD BRANDON OLSEN, DMD
Title: OWNER
Phone: (480) 461-9866

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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