DENTALWORKS, DR. DIETZ & ASSOCIATES (PARK AVENUE), P.C. (NPI# 1023088523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023088523 |
| Entity Type | Organization |
| Organization Name | DENTALWORKS, DR. DIETZ & ASSOCIATES (PARK AVENUE), P.C. |
| Practice Address |
5180 Park Ave Suite 210 Memphis TN 38119-3530 |
| Mailing Address |
Po Box 860036 Minneapolis MN 55486-0036 |
| Practice Telephone | 9017630850 |
| Practice Fax Number | 2165841207 |
| Mailing Telephone | 9017630850 |
| Mailing Fax Number | 2165841207 |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2015-05-06 |
| Authorized Official Name | DR. JAMES G DIETZ JR. (DENTIST/OWNER) |
| Authorized Official Telephone | 9017630850 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | Y |
| Parent Organization Name | DENTALONE PARTNERS, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | Dental Providers | ||
| N | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers | ||
| N | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers | ||
| N | 1223P0700X |
Dentist Specialization: Prosthodontics |
Dental Providers | ||
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
5180 PARK AVE SUITE 210 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38119-3530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508216466 | Medical Acupuncture Research Institute of America, Inc | Psychiatry & Neurology | 5180 Park Ave, Suite 175, Memphis, TN 38119-3521 | 2016-06-21 |
| 1730476268 | Quinton C. Robinson IIi, D.d.s., M.s., Pllc | Dentist | 5180 Park Ave, Suite 260, Memphis, TN 38119-3521 | 2011-07-05 |
| 1407094121 | Park Station Dental Group | Dentist | 5180 Park Ave, Suite 310, Memphis, TN 38119-3521 | 2009-02-03 |
| 1114122140 | Marion D Bailey | Dentist | 5180 Park Ave, 310, Memphis, TN 38119-3521 | 2007-06-19 |
| 1689795429 | Lee Michael Thomas | Chiropractor | 5180 Park Ave, Suite 130, Memphis, TN 38119-3521 | 2007-04-02 |
| 1457485492 | Edward Maurice Mack | Dentist | 5180 Park Ave, Suite 300, Memphis, TN 38119-3521 | 2007-03-14 |
| 1528125911 | Wellness First Inc | Non-Pharmacy Dispensing Site | 5180 Park Ave, Suite 250, Memphis, TN 38119 | 2007-01-03 |
| 1477621837 | Dierdre D. Sturgis | Dentist | 5180 Park Ave, Suite 260, Memphis, TN 38119-3521 | 2006-12-01 |
| 1275617912 | John W Landrigan Jr. | Specialist | 5180 Park Ave, Suite 200, Memphis, TN 38119-3521 | 2006-10-25 |
| 1528148392 | Quinton Carty Robinson IIi | Dentist | 5180 Park Ave, Suite 260, Memphis, TN 38119-3521 | 2006-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417469628 | Jojuan Fullwiley | Behavioral Analyst | 6685 Quince Rd Ste 116, Memphis, TN 38119 | 2017-10-27 |
| 1336675297 | Jill Budynas Depriest | Counselor | 5583 Murray Ave Ste 203, Memphis, TN 38119 | 2017-05-11 |
| 1396279220 | Glen Matthew Stamps Jr. | Counselor | 5583 Murray Ave Ste 207, Memphis, TN 38119 | 2017-04-18 |
| 1598117442 | Hazel Aberdeen | Chiropractor | 1911 Memphis Tennessee, Memphis, TN 38119 | 2016-07-04 |
| 1831569060 | E-c-t Non Emergency Medical Transport | Non-emergency Medical Transport (VAN) | 6869 Woodlake Dr, Memphis, TN 38119 | 2015-09-30 |
| 1053781617 | Astrid Roman | Dietitian, Registered | 8020 Hillside Cv, Memphis, MS 38119 | 2015-09-25 |
| 1467857664 | Allan Jacob Katz | Counselor | 5668 Rex Rd, Suite 104, Memphis, TN 38119 | 2014-10-30 |
| 1962836015 | Judy Ann Harrick | Acupuncturist | 5575 Poplar Ave., #702, Memphis, TN 38119 | 2013-08-26 |
| 1366791949 | Jennifer Denyes Bidelman | Audiologist | 5625 Poplar Avenue, Memphis, TN 38119 | 2012-08-29 |
| 1578833620 | Elizabeth Mary Dion-douglass | Pharmacist | 2891 Kirby Parkway, Memphis, TN 38119 | 2012-01-06 |
| Find all providers in zip 38119 | ||||
| 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 |
|---|---|---|---|---|
| 1497361596 | Crosstown Dental Group Highland Row LLC | Dentist | 431 S Highland St Ste 115, Memphis, TN 38111-1633 | 2020-09-23 |
| 1922626019 | Randy Bagay | Dentist | 1350 Concourse Ave Ste 446, Memphis, TN 38104-2026 | 2020-07-06 |
| 1780200279 | Taylor Rae Vracar | Dentist | 875 Union Ave Ste 301, Memphis, TN 38103-3513 | 2020-06-19 |
| 1063982957 | Jasmine Copelanddds | Dentist | 1251 Wesley Dr Ste 130, Memphis, TN 38116-6443 | 2018-12-04 |
| 1770075681 | Bellano East Memphis, Pllc | Dentist | 5336 Estate Office Dr Ste 1, Memphis, TN 38119-3623 | 2018-06-06 |
| 1992200364 | Lauren Alyssia Henderson | Dentist | 5180 Park Ave Ste 210, Memphis, TN 38119-3530 | 2018-03-28 |
| 1598123986 | James F Proctor Dds Pa | Dentist | 1655 International Drive, Suite 203, Memphis, TN 38120-1436 | 2016-02-01 |
| 1497140008 | Tennessee Dental Professionals PC | Dentist | 6425 N Quail Hollow Rd Ste 102, Memphis, TN 38120-1438 | 2015-03-31 |
| 1255760385 | Tennessee Dental Professionals PC | Dentist | 370 Colonial Road, 3, Memphis, TN 38117 | 2013-11-08 |
| 1457793929 | Acadia Helath LLC | Dentist | 1000 Ridgeway Loop Rd, Suite 203, Memphis, TN 38120-4045 | 2013-07-24 |
| Find all providers in MEMPHIS | ||||
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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.