AZ FAMILY AND KIDS DENTAL AVONDALE LLC (NPI# 1013526961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013526961 |
| Entity Type | Organization |
| Organization Name | AZ FAMILY AND KIDS DENTAL AVONDALE LLC |
| Practice Address |
10740 W Lower Buckeye Rd Ste 105 Avondale AZ 85323-9655 |
| Practice Telephone | 6234398045 |
| Practice Fax Number | 6234398046 |
| Mailing Telephone | 6234398045 |
| Mailing Fax Number | 6234398046 |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2020-07-27 |
| Authorized Official Name | RICHARD SMITH (OWNER/DENTIST) |
| Authorized Official Telephone | 4803257639 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
10740 W LOWER BUCKEYE RD STE 105 |
| City | AVONDALE |
| State | AZ |
| Zip Code | 85323-9655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306031943 | Avon Dental Pllc | Dentist | 10740 W Lower Buckeye Rd Ste 105, Avondale, AZ 85323-9655 | 2007-09-06 |
| 1407280241 | Tooth Castle Pediatric Dentistry, Pllc | Dentist | 10740 W Lower Buckeye Rd Ste 105, Avondale, AZ 85323-9655 | 2013-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932663994 | Bridgewater Avondale Operations, LLC | Assisted Living Facility | 295 E Van Buren Street, Avondale, AZ 85323 | 2019-01-24 |
| 1104309152 | Carlos Sifuentes | Physical Therapist | 10750 W Mcdowell Rd., Ste. B-210, Avondale, AZ 85323 | 2018-09-14 |
| 1225534688 | Dayna Sue Kaepp | Registered Nurse | 3300 N. Santa Fe Trail, Avondale, AZ 85323 | 2018-04-04 |
| 1407376700 | Amanda Lynn Radcliffe | Nurse Practitioner | 824 N. 99th Ave Ste 108, Avondale, AZ 85323 | 2017-06-27 |
| 1093253361 | Aquatic-n-writing Rehad | Home Health | 12355 West Cocopah Street, Avondale, AZ 85323 | 2017-02-07 |
| 1750838348 | Annette A Alvarez | Specialist/Technologist | 295 W Western Avenue, Avondale, AZ 85323 | 2016-09-01 |
| 1649726886 | Michelle R Dotson | Contractor | 12115 W Van Buren St Apt 1924, Avondale, AZ 85323 | 2016-08-28 |
| 1619370756 | Amanda Mann | Physical Therapy Assistant | 12804 West Hildalgo, Avondale, AZ 85323 | 2014-10-03 |
| 1326459306 | Ma Caubalejo | Physical Therapist | 350 East La Canada Blvd, Avondale, AZ 85323 | 2014-05-13 |
| 1093139545 | Mark Salvador | Physical Therapy Assistant | 11722 W. Mountain View Dr., Avondale, AZ 85323 | 2014-02-04 |
| Find all providers in zip 85323 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073077145 | Lakeview Dentistry P.C., Inc. | Dentist | 10750 W. Mcdowell Road, Bldg. D410, Avondale, AZ 85392 | 2019-01-23 |
| 1760960736 | Shawn Dhanjal | Dentist | 1430 N Central Ave Ste A, Avondale, AZ 85323-1305 | 2018-08-01 |
| 1073041083 | Shahdi Khoshrou | Dentist | 10210 W Mcdowell Rd Ste 140, Avondale, AZ 85392-4844 | 2017-06-03 |
| 1841536612 | Az Lifetime Dentistry LLC | Dentist | 13065 W Mcdowell Rd Ste 112, Avondale, AZ 85392-6439 | 2012-12-21 |
| 1821305798 | Rancho Santa Fe Dental Group | Dentist | 13048 W Rancho Santa Fe Blvd, 114, Avondale, AZ 85392-1705 | 2010-09-13 |
| 1235445669 | Jared M Mayer | Dentist | 9915 W Mcdowell Rd Ste 105, Avondale, AZ 85392-4897 | 2010-08-23 |
| 1528290699 | Smitha Reddy | Dentist | 1619 N Dysart Rd Ste 105, Avondale, AZ 85392-1200 | 2009-08-21 |
| 1245410232 | Charles Clausen Dds PC | Dentist | 13055 W Mcdowell, #g103, Avondale, AZ 85392 | 2007-11-07 |
| 1124230636 | Friendly Family Dental Care, LLC | Dentist | 1579 N Dysart Road Ste F, Avondale, AZ 85323 | 2007-05-04 |
| 1992834121 | Gateway Dental Group, LLP | Dentist | 9915 West Mcdowell, Suite 106, Avondale, AZ 85323 | 2007-03-05 |
| Find all providers in AVONDALE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.