SIMPLY DENTAL


Address: 10646 N 51st Ave, Glendale, AZ 85304-4343
Phone: 6238780882

SIMPLY DENTAL (NPI# 1023284072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023284072
Entity Type Organization
Organization Name SIMPLY DENTAL
Practice Address 10646 N 51st Ave
Glendale
AZ 85304-4343
Practice Telephone 6238780882
Practice Fax Number 6239793043
Mailing Telephone 6238780882
Mailing Fax Number 6239793043
Enumeration Date 2008-04-30
Last Update Date 2008-04-30
Authorized Official Name TERESA BLATT (OFFICE MANAGER)
Authorized Official Telephone 6238780882
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 305R00000X Preferred Provider Organization D4955 AZ Managed Care Organizations

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1922339266 Simply Dental Dentist 341 E Geneva Rd, Carol Stream, IL 60188-2438 2010-01-27

Other Data Sources

Entity Type Entity Name Entity Address
Washington State Corporations SIMPLY DENTAL ASSISTING, L.L.C. 3404 W Northwest Blvd, Spokane, WA 99205
New York State Corporations SIMPLY DENTAL NY P.C. 42-79 78th Street, Elmhurst, New York 11373
Iowa Business Entities SIMPLY DENTAL, INC. 16861 Marble Avenue, Le Mars, IA 51031

Office Location

Street Address 10646 N 51ST AVE
City GLENDALE
State AZ
Zip Code 85304-4343

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NPI Name Taxonomy Address Enumeration
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1962929224 Glendale Surgery Center Clinic/Center 11851 North 51st Ave, Suite G, Glendale, AZ 85304 2017-08-28
1073941092 Megan Lorenzen Occupational Therapist 5834 W. Bloomfield Rd., Glendale, AZ 85304 2013-10-30
1396178380 Danielle Marie Wiles Registered Nurse 12901 W. 63rd Avenue, Glendale, AZ 85304 2013-08-14
1780017848 Pedram Nazari Pharmacist 4811 North 83rd Avenue, Glendale, AZ 85304 2013-08-13
1740558022 Krunal Patel Obstetrics & Gynecology 5605 W Eugie Ave Ste 111, Glendale, AZ 85304 2011-12-01
1730499609 Laura A Truax Physician Assistant 11851 N. 51st Ave, Ste F-110, Glendale, AZ 85304 2010-10-13
1760698419 Suhir Bitar Pediatrics 13625 N 59th Ave, Glendale, AZ 85304 2007-05-16
1497967293 Pam Rubbone Psychologist 4650 West Sweetwater Ave., Glendale, AZ 85304 2007-05-04
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Taxonomy Information

Taxonomy Code 305R00000X
Grouping Managed Care Organizations
Classification Preferred Provider Organization

Taxonomy Definition

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730510785 Otilia Muresan Preferred Provider Organization 22365 N 69th Ave, Glendale, AZ 85310 2013-12-02
1497028534 Medirect, Inc. Preferred Provider Organization 412 W Broadway Ste 210, Glendale, CA 91204-1297 2012-02-21
1407177785 Californiacarecorp Preferred Provider Organization 127 S Brand Blvd # 241, Glendale, CA 91204-1342 2010-06-21
1770801227 California Care Corp Preferred Provider Organization 610 N Central Ave Ste 106, Glendale, CA 91203-1418 2010-05-07
1962673574 First Assist, PC Preferred Provider Organization 5922 W Yucca St, Glendale, AZ 85304-3776 2008-03-23
1184773889 Aturning Point for Arizona's Children Preferred Provider Organization 4541 W Cheryl Dr, Glendale, AZ 85302-1913 2007-01-10
1265944136 Sports Champs Inc. Preferred Provider Organization 3600 N Verdugo Rd, Glendale, CA 91208-1219 2017-10-31
1295280014 Reel Dentistry Pllc Preferred Provider Organization 5700 W Olive Ave, Suite #104, Glendale, AZ 85302-3147 2016-08-22
1124497524 Phillip H A Lee Md and Center for Advanced Dermatology Preferred Provider Organization 1510 S Central Ave Ste 470, Glendale, CA 91204-2514 2015-09-16
1861872566 P.c. Medical Clinic Preferred Provider Organization 631 E Colorado St, Suite C, Glendale, CA 91205 2015-06-08
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Competitor

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City GLENDALE
Zip Code 85304

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Dataset Information

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.

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