IMPRESSIONS DENTAL (NPI# 1033398870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033398870 |
Entity Type | Organization |
Organization Name | IMPRESSIONS DENTAL |
Practice Address |
5970 S Cooper Rd Ste 1 Chandler AZ 85249-5393 |
Practice Telephone | 4808148888 |
Practice Fax Number | 4808141553 |
Mailing Telephone | 4808148888 |
Mailing Fax Number | 4808141553 |
Enumeration Date | 2007-10-29 |
Last Update Date | 2007-10-29 |
Authorized Official Name | DR. KELLY WETTSTEIN (OWNER) |
Authorized Official Telephone | 4808148888 |
Authorized Official Credential | DMD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
6572 | AZ | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144494147 | Impressions Dental | Dentist | 2510 E Independence St Ste 600, Shawnee, OK 74804-1839 | 2008-04-22 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Indiana Business Entities | IMPRESSIONS DENTAL LABORATORY, INC. | C/o Robert D. Clarke, 8168 W. Fairfield Dr, Waynetown, IN 47990 |
Colorado Business Entities | Impressions Dental Spa, LLC | 191 University Blvd, 522, Denver, CO 80206 |
Street Address |
5970 S COOPER RD STE 1 |
City | CHANDLER |
State | AZ |
Zip Code | 85249-5393 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720472434 | Baker Wettstein Enterprises LLC | Dentist | 5970 S Cooper Rd, Ste. 1, Chandler, AZ 85249-5393 | 2015-03-20 |
1962729806 | Baker-wettstein Enterprises L.L.C. | Preferred Provider Organization | 5970 S Cooper Rd, Suite1, Chandler, AZ 85249-5393 | 2010-05-03 |
1578717898 | Mathew Thomas | Physical Therapist | 5970 S Cooper Rd, #4, Chandler, AZ 85249-5393 | 2008-11-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124522297 | Bellissimo Dentistry, Pllc | Dentist | 2815 E. Ocotillo Rd., Ste. #3, Chandler, AZ 85249 | 2018-03-22 |
1518466903 | Arms of Love Assisted Living Home LLC | Assisted Living Facility | 6086 S Pearl Drive, Chandler, AZ 85249 | 2018-02-12 |
1891232120 | Spencer D Weed Dds Pllc | Dentist | 11631 E Navajo Dr, Chandler, AZ 85249 | 2017-01-25 |
1760936355 | Fernitrice Dahan Hunter | Contractor | 4204 East Westchester Dr., Chandler, AZ 85249 | 2016-08-11 |
1992053524 | Katherine Conley Factor | Physical Therapist | 1372 East Zion Way, Chandler, AZ 85249 | 2012-08-29 |
1790064152 | Better Horizons Behavioaral Health | Psychiatric Residential Treatment Facility | 2184 E. Firestone Dr, Chandler, AZ 85249 | 2011-08-16 |
1316262561 | Harshadray M. Patel | Pharmacist | 1394 E Las Colinas Drive, Chandler, AZ 85249 | 2010-03-31 |
1326361825 | Laura Louise Robertson | Specialist/Technologist | 5990 S. Val Vista Rd, Chandler, AZ 85249 | 2010-03-11 |
1043545973 | James Edward Palmateer | Pharmacist | 855 East Riggs Rd, Chandler, AZ 85249 | 2009-10-09 |
1528255262 | Steven R Otto | Legal Medicine | 1555 E. Grand Canyon Dr., Chandler, AZ 85249 | 2007-09-26 |
Find all providers in zip 85249 |
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 |
---|---|---|---|---|
1063019669 | Sona Dds PC | Dentist | 10450 E. Riggs Rd. #118, Chandler, AZ 85248 | 2020-10-06 |
1598362105 | Sona Dds PC | Dentist | 995 E Ocotillo Rd Ste 3, Chandler, AZ 85249-3111 | 2020-10-06 |
1053925255 | Cactus Point Dental, Pllc | Dentist | 1300 N Mcclintock Dr Ste D10-11, Chandler, AZ 85226-7205 | 2020-09-04 |
1700401023 | Craig Standage | Dentist | 125 E Ray Rd, Chandler, AZ 85225-3339 | 2020-06-12 |
1073156709 | Martin Dental-airpark LLC | Dentist | 1775 E Queen Creek Rd Ste 130, Chandler, AZ 85286-2012 | 2019-10-25 |
1932754231 | Kourtney Rummel | Dentist | 3100 W Chandler Blvd Ste C, Chandler, AZ 85226-5222 | 2019-08-05 |
1912565177 | Novelly Family Dentistry & Orthodontics LLC | Dentist | 2171 E Pecos Rd Ste 1, Chandler, AZ 85225-6139 | 2019-06-03 |
1235693169 | Shumway Dental Care Pllc | Dentist | 3150 S. Gilbert Road Suite 1, Chandler, AZ 85286 | 2019-01-24 |
1407340854 | Ocotillo Lakes Dental Health | Dentist | 3200 S Alma School Rd Ste 103, Chandler, AZ 85248-3755 | 2018-06-19 |
1811489594 | Skyler Jay Smith | Dentist | 1992 E Ray Rd, Suite #2, Chandler, AZ 85225 | 2018-05-30 |
Find all providers in CHANDLER |
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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.