LONNY D CARMICHAEL (NPI# 1043352412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043352412 |
| Entity Type | Individual |
| Full Name | LONNY D CARMICHAEL |
| Credential | DDS |
| Practice Address |
3592 S Atherton Blvd Suite 107 Gilbert AZ 85297-7443 |
| Practice Telephone | 4808891877 |
| Practice Fax Number | 4808891876 |
| Mailing Telephone | 4808891877 |
| Mailing Fax Number | 4808891876 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2009-08-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 0401411545 | VA | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
7460 | AZ | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 348451 | 05 |
| Street Address |
3592 S ATHERTON BLVD SUITE 107 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85297-7443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508853904 | Chad A Carlsson | Optometrist | 3592 S Atherton Blvd, Ste 111, Gilbert, AZ 85297 | 2005-09-30 |
| 1710359658 | Sv Gilbert, LLC | Dentist | 3592 S Atherton Blvd, Suite 107, Gilbert, AZ 85297-7443 | 2015-10-29 |
| 1780955716 | Carmichael Pediatric Dentistry | Dentist | 3592 S Atherton Blvd, Ste #107, Gilbert, AZ 85297-7443 | 2012-01-23 |
| 1346554508 | James Danforth Martin | Physical Therapist | 3592 S Atherton Blvd, Gilbert, AZ 85297-7443 | 2010-07-29 |
| 1497993521 | Taylor Hughes Seare | Dentist | 3592 S Atherton Blvd, Ste#107, Gilbert, AZ 85297-7443 | 2009-01-27 |
| 1821259763 | Reyna Lynn Cuellar | Pediatrics | 3592 S Atherton Blvd, #101, Gilbert, AZ 85297-7443 | 2008-06-23 |
| 1770758765 | San Tan Ranch Smiles LLC | Dentist | 3592 S Atherton Blvd, Suite 112, Gilbert, AZ 85297-7443 | 2008-04-29 |
| 1083763668 | Ryan Joseph Porter | Dentist | 3592 S Atherton Blvd, #112, Gilbert, AZ 85297-7443 | 2007-01-10 |
| 1811920382 | Carlsson Family Eye Center Pllc | Optometrist | 3592 S Atherton Blvd, Suite 111, Gilbert, AZ 85297 | 2006-07-08 |
| 1346219078 | Andrea Lyn Demets | Pediatrics | 3592 S Atherton Blvd, Ste 1, Gilbert, AZ 85297 | 2006-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710592357 | Center for Orthopedic Research and Education LLC | Durable Medical Equipment & Medical Supplies | 3597 South Mercy Rd, Ste 200, Gilbert, AZ 85297 | 2020-09-10 |
| 1508483827 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3271 East Queen Creek, Bldg 2, Suite 101-p, Gilbert, AZ 85297 | 2020-07-02 |
| 1225653074 | Sigma Health and Wellness LLC | Nurse Practitioner | 3317 S. Higley Road, Ste 114-757, Gilbert, AZ 85297 | 2020-06-08 |
| 1750928727 | Emily Paige Stott | Specialist/Technologist | 4141 E Sidewinder Ct, Gilbert, AZ 85297 | 2019-12-09 |
| 1386280436 | Ocotillo Surgery Center LLC | Clinic/Center | 3920 S Rome Street, Gilbert, AZ 85297 | 2019-11-25 |
| 1366094930 | Psa Behavioral Health Agency | Community/Behavioral Health | 3271 E. Queen Creek Road, Ste. 105, 110, 111, Gilbert, AZ 85297 | 2019-07-12 |
| 1508337213 | Orthopedic Specialists of North America Pllc | Physical Therapist | 1675 E Melrose Street, Suites 101-103, Gilbert, AZ 85297 | 2018-12-07 |
| 1346766698 | Charles Stanley Bailey | Optometrist | 3098 E. Waterman Way, Gilbert, AZ 85297 | 2017-08-18 |
| 1982155503 | Sheli K Jensen | Marriage & Family Therapist | 7400 S. Power Road, Suite 116, Gilbert, AZ 85297 | 2016-10-19 |
| 1407302763 | Kelly Jo Plencner-vega | Advanced Practice Midwife | 3815 S Val Vista Dr, Gilbert, Az, Gilbert, AZ 85297 | 2016-08-28 |
| Find all providers in zip 85297 | ||||
| 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 |
|---|---|---|---|---|
| 1497396170 | Gilbert Kidtastic Dental LLC | Dentist | 3303 E Queen Creek Rd Ste 106, Gilbert, AZ 85297-8532 | 2019-10-03 |
| 1386207785 | Cattron's Dmd, Pllc | Dentist | 4024 E Guadalupe Rd Ste 105, Gilbert, AZ 85234-7672 | 2019-04-21 |
| 1487158473 | Jared Benjamin Tinker | Dentist | 3592 S Atherton Blvd Ste 107, Gilbert, AZ 85297-7444 | 2018-03-22 |
| 1184167447 | John E. Culp, IIi Dmd, PC | Dentist | 2080 E Williams Field Rd, Suite #104, Gilbert, AZ 85295-0702 | 2016-11-18 |
| 1871950071 | Joseph Creech | Dentist | 2550 E Guadalupe Rd Ste 101, Gilbert, AZ 85234-5114 | 2016-01-20 |
| 1073895629 | Kidiatric Dentistry, Pllc | Dentist | 913 E Warner Rd, Gilbert, AZ 85296-3078 | 2011-09-09 |
| 1861663635 | Gavin Cotant Christensen | Dentist | 3303 E Queen Creek Rd, Suite 106, Gilbert, AZ 85297-8532 | 2008-03-19 |
| 1285753574 | Timothy J Bashara | Dentist | 5656 S. Power Rd., Ste. 118, Gilbert, AZ 85295 | 2007-03-28 |
| 1780749333 | Abc Dentistry for Children | Dentist | 2363 E Baseline Rd, Gilbert, AZ 85234-2357 | 2006-12-26 |
| 1053488650 | Jared Weston Welch | Dentist | 3011 S Lindsay Rd Ste 108, Gilbert, AZ 85296-0702 | 2006-11-29 |
| Find all providers in GILBERT | ||||
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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.