AZ CHILDREN'S DENTAL CARE PLLC (NPI# 1023369154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023369154 |
| Entity Type | Organization |
| Organization Name | AZ CHILDREN'S DENTAL CARE PLLC |
| Other Organization Name | JET SET SMILES |
| Practice Address |
26224 N Tatum Blvd Ste 12 Phoenix AZ 85050-7500 |
| Practice Telephone | 4802845076 |
| Mailing Telephone | 4802845076 |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2012-09-28 |
| Authorized Official Name | DR. HIREN PATEL (PRESIDENT) |
| Authorized Official Telephone | 4802845076 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
D8035 | AZ | Dental Providers |
| Other Name | Type Code |
|---|---|
| Jet Set Smiles | Doing Business As Name - Organization |
| Street Address |
26224 N TATUM BLVD STE 12 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85050-7500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407856545 | Binita Patel | Pediatrics | 26224 N Tatum Blvd, Suite 1, Phoenix, AZ 85050-7500 | 2005-07-29 |
| 1790236693 | Arizona Childrens Dental Care | Dentist | 26224 N Tatum Blvd, Suite 12, Phoenix, AZ 85050-7500 | 2016-10-17 |
| 1568791499 | Stephanie Vandyke | Registered Nurse | 26224 N Tatum Blvd, Ste 1, Phoenix, AZ 85050 | 2009-12-24 |
| 1134243330 | Desert Sun Pediatrics PC | Pediatrics | 26224 N Tatum Blvd, Suite 1, Phoenix, AZ 85050-7500 | 2007-03-16 |
| 1407935935 | Physiotherapy Associates Inc | Clinic/Center | 26224 N Tatum Blvd, Suite 11, Phoenix, AZ 85050-7500 | 2006-11-03 |
| 1174605059 | Tatum Highlands Medical Associates Plc | Clinic/Center | 26224 N Tatum Blvd, Suite 15a, Phoenix, AZ 85050-7500 | 2006-10-19 |
| 1528155702 | Robin E Limmer Bibb | Physician Assistant | 26224 N Tatum Blvd, Suite #15a, Phoenix, AZ 85050-7500 | 2006-10-06 |
| 1710095799 | Solomon T Woldesilassie | Dentist | 26224 N Tatum Blvd, Suit # 10, Phoenix, AZ 85050-7500 | 2006-08-29 |
| 1124033717 | Desert View Family Practice Inc | Family Medicine | 26224 N Tatum Blvd, Suite 5, Phoenix, AZ 85050-7500 | 2006-07-30 |
| 1487614681 | Julie D.p. Schlomer | Physician Assistant | 26224 N Tatum Blvd, Phoenix, AZ 85050-7500 | 2006-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770045528 | Jesse Micheal Stokke | Student in an Organized Health Care Education/Training Program | Honorhealth Jomax Clinic, 26224 N. Tatum Blvd. #5, Phoenix, AZ 85050 | 2019-04-02 |
| 1386104974 | Dania Aijaz Shah | Student in an Organized Health Care Education/Training Program | Honor Health Jomax Clinic, 26224 N. Tatum Blvd. #5, Phoenix, AZ 85050 | 2019-03-21 |
| 1205391588 | Sanctuary | Clinic/Center | 2550 E Rose Garden Ln, # 73404, Phoenix, AZ 85050 | 2019-01-31 |
| 1477026474 | Archer Health LLC | Nurse Practitioner | 21001 N Tatum Blvd Ste 1630 - 490, Phoenix, AZ 85050 | 2019-01-02 |
| 1548756059 | Preston Andrew Slade | Community/Behavioral Health | 20860 E. Tatum Blvd Ste, 300, Phoenix, AZ 85050 | 2018-07-09 |
| 1184126658 | Alisha Ramirez | Specialist/Technologist | 19638 N 37th Way, Phoenix, AZ 85050 | 2018-03-01 |
| 1720590011 | Dr Richards Pllc | Internal Medicine | 20815 N 25th Pl Ste A106, Phoenix, AZ 85050 | 2017-10-26 |
| 1417474792 | Heather Arabeity | Nurse Practitioner | 3762 E Zachary Dr, Phoenix, AZ 85050 | 2017-08-28 |
| 1083161087 | Haley Elaine Kinzer | Physician Assistant | 20950 N Tatum Blvd Ste 150, Phoenix, AZ 85050 | 2016-09-07 |
| 1003227927 | Chelsea Joy Thomsen | Internal Medicine | 26224 N Tatum Blvd Ste 7, Phoenix, AZ 85050 | 2014-05-13 |
| Find all providers in zip 85050 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881206274 | Totally Kids Dental P.C. | Dentist | 602 W Union Hills Dr Ste 9, Phoenix, AZ 85027-6629 | 2020-08-18 |
| 1861989121 | Logan Mariano | Dentist | 4383 E Rosemonte Dr, Phoenix, AZ 85050-3407 | 2018-04-21 |
| 1972023372 | David Jourabchi | Dentist | 4550 E Bell Rd Ste 106, Phoenix, AZ 85032-9342 | 2017-06-27 |
| 1730639840 | Steven Petruzzi Dds Pllc | Dentist | 34406 N 27th Dr Ste 106, Phoenix, AZ 85085-7730 | 2016-10-12 |
| 1124401146 | Jennifer Canada | Dentist | 6725 N 35th Ave # 105, Phoenix, AZ 85017-1083 | 2015-07-08 |
| 1548654791 | Arlene Kewallal | Dentist | 1935 W Happy Valley Rd, Phoenix, AZ 85085-2884 | 2015-03-25 |
| 1134400880 | Norterra Pediatric Dental Partners, LLP | Dentist | 2217 W Happy Valley Rd Ste 100, Phoenix, AZ 85085-1604 | 2011-09-07 |
| 1558689703 | Hamed Rezakhan | Dentist | 4803 E Ray Rd, Suit P002c, Phoenix, AZ 85044-6496 | 2010-05-12 |
| 1417110750 | Shreekrishna Chaitanya Akilesh | Dentist | 10550 W Mariposa St, Phoenix, AZ 85037-5081 | 2008-07-07 |
| 1134345937 | Pda Holdings | Dentist | 1701 E Thomas Rd #204, Phoenix, AZ 85016 | 2007-04-18 |
| Find all providers in PHOENIX | ||||
Please comment or provide details below to improve the information on AZ CHILDREN'S DENTAL CARE PLLC.
| 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.