Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1811419930 Individual Practitioner Male Practitioner

Dr. Kasey Hendricks , DDS

Dentist • Mesa, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Kasey Hendricks, DDS is a registered healthcare professional specializing in Dentist in Mesa, AZ. Practice services are available at 1245 E SOUTHERN AVE STE 12 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1245 E Southern Ave Ste 12

Mesa, AZ 852045138

Telephone 2082068628
Associated Practice Facility / Clinic
🏢 Dental And Braces Mesa Llc Facility NPI 1659835932

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Mesa, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.0 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
178 Specialists

Practicing in Mesa, AZ (1999 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-03-08
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License AZ D010145

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist

NUCC Taxonomy Code: 122300000X

State License ID D-4856

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Aaron Truong , DMD

Dentist - General Practice

NPI 1346976925

Doctor of Dental Medicine

NPI 1386153823

Doctor of Dental Medicine

Dr. Joseph Bentley , DDS

Dentist - General Practice

NPI 1386805802

Doctor of Dental Surgery

Dr. Neal Patel , DMD

Dentist - General Practice

NPI 1679257299

Doctor of Dental Medicine

NPI 1710625579

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location March 08, 2023

Registered at 1245 E SOUTHERN AVE STE 12, MESA, AZ 852045138 (Tel: 2082068628)

📍
Updated Business Mailing Address March 08, 2023

Registered at 4498 E DUBLIN ST, GILBERT, AZ 852955862 (Tel: 2082068628)

NPI Profile Active August 24, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address August 24, 2017

Registered at 2465 W 960 S, REXBURG, ID 834404733 (Tel: 2082068628)

📍
Updated Practice Location August 24, 2017

Registered at 322 EAST MAIN ST., ST. ANTHONY, ID 83445 (Tel: 2086242000)

👤
Provider Name / Credentials Updated August 24, 2017

Recorded as KASEY HENDRICKS, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2017

Dentist (License #D-4856 in ID)

NPI Profile Active July 19, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 19, 2017

Registered at 322 EAST MAIN ST., ST. ANTHONY, ID 83445 (Tel: 2086242000)

📍
Updated Business Mailing Address July 19, 2017

Registered at 2465 W 960 S, REXBURG, ID 834404733 (Tel: 2082068628)

👤
Provider Name / Credentials Updated July 19, 2017

Recorded as KASEY HENDRICKS, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2017

Dentist (License #D-4856 in ID)

🟢
Initial NPI Registration & Enumeration July 11, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811419930
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 11, 2017
Last Update: March 08, 2023
Sole Proprietor: No

Mailing Address

4498 E Dublin St

Gilbert, AZ 852955862

Phone: 2082068628

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.