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1801 Southern Vista Dental Care

Dentist in Mesa, AZ · enumerated 2006 · authorized official Elwynn Caffall, Direct Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1023102183

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Registry record

Entity type Organization (Type 2)
Legal business name 1801 Southern Vista Dental Care
Other name <Unavail>
Practice address 1801 E Southern Ave, Suite 103, Mesa, AZ, 85204
Fax (480) 926-0545
Enumeration date Oct 3, 2006
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

122300000X Dentist Dental Providers · License 6283 (AZ) Secondary
122300000X Dentist Dental Providers · License 2561 (AZ) Secondary
122300000X Dentist Dental Providers · License 6591 (AZ) Primary

Authorized official

Name Elwynn Caffall
Title Direct Owner

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for 1801 Southern Vista Dental Care?
NPPES lists Elwynn Caffall (Direct Owner) as the authorized official for this organization.
What is the NPI number for 1801 Southern Vista Dental Care?
The NPI for 1801 Southern Vista Dental Care is 1023102183, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.