DR. TYLER JAY PHELPS (NPI# 1043838030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043838030 |
| Entity Type | Individual |
| Full Name | DR. TYLER JAY PHELPS |
| Credential | DMD |
| Practice Address |
1501 N Arizona Blvd Coolidge AZ 85128-3215 |
| Mailing Address |
848 E Dust Devil Cir San Tan Valley AZ 85143-6142 |
| Practice Telephone | 5207231700 |
| Mailing Telephone | 4805780380 |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2020-07-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | PD0018 | AZ | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831553783 | Tyler Phelps | Student in an Organized Health Care Education/Training Program | 320 E North Ave, Pittsburgh, PA 15212-4756 | 2016-04-07 |
| Street Address |
1501 N ARIZONA BLVD |
| City | COOLIDGE |
| State | AZ |
| Zip Code | 85128-3215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932486693 | Molar Magic, LLC-cooolidge | Dentist | 1501 N Arizona Blvd, Coolidge, AZ 85128-3215 | 2011-11-09 |
| 1639655046 | Jon Sankman | Dentist | 1501 N Arizona Blvd, Coolidge, AZ 85128-3215 | 2018-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629636253 | Terhea A Smith | Physical Therapy Assistant | 2155 W Pima Ave, Coolidge, AZ 85128 | 2019-05-29 |
| 1912310913 | Josette Rossi | Counselor | 556 South Arizona Ave., Pinal Hispanic Council, Coolidge, AZ 85128 | 2014-06-06 |
| 1952745531 | Community Partners Integrated Healthcare, Inc. | Community/Behavioral Health | 120b N Arizona Blvd., Ste. F, Coolidge, AZ 85128 | 2013-04-25 |
| 1346550878 | Laura Grace Lew | Registered Nurse | 800 W. Northern Ave., Coolidge, AZ 85128 | 2010-10-18 |
| 1962682203 | Douglas Santiago | Audiologist | 4713 West Ginger Avenue, Coolidge, AZ 85128 | 2007-11-04 |
| 1528113859 | Pinal County Arizona | Public Health or Welfare | 119 W. Central Avenue, Coolidge, AZ 85128 | 2007-01-25 |
| 1265085567 | The River's Edge Dental | Dentist | 1185 N Arizona Blvd, Coolidge, AZ 85128 | 2019-07-17 |
| 1700291440 | Robin Wilson | Nurse Practitioner | 1284 N Arizona Blvd, Coolidge, AZ 85128 | 2014-06-20 |
| 1407981384 | Max A Almodovar | Dentist | 417 W Central Ave, Ste #a, Coolidge, AZ 85128-0028 | 2007-02-22 |
| 1093805160 | Michael Eugene Wilkinson | Dentist | 1185 N Arizona Blvd, Coolidge, AZ 85128-3203 | 2006-10-12 |
| Find all providers in zip 85128 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932486693 | Molar Magic, LLC-cooolidge | Dentist | 1501 N Arizona Blvd, Coolidge, AZ 85128-3215 | 2011-11-09 |
| 1134383631 | Chris A Ballew | Dentist | 1427 N Arizona Blvd, Coolidge, AZ 85128-3214 | 2008-07-14 |
| 1417982059 | Dental Care Inc | Dentist | 417 W Central Avenue, Suite A, Coolidge, AZ 85228 | 2006-07-12 |
| 1841614799 | Santan Dental Associates Plc | Dentist | 1185 N Arizona Blvd, Coolidge, AZ 85128-3203 | 2014-02-13 |
| 1043457427 | Mindy Zahra Motahari | Dentist | 1185 N Arizona Blvd, Coolidge, AZ 85228-3203 | 2009-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407456031 | Roger Ryan Roybal, Dds, Pllc | Dentist | 14300 N Northsight Blvd Ste 214, Scottsdale, AZ 85260-3677 | 2020-11-01 |
| 1851990444 | Shaveta Behl | Dentist | 320 E Mcdowell Rd Ste 221, Phoenix, AZ 85004-4516 | 2020-10-23 |
| 1083212575 | Rasha Adil Abduljabbar Al-kaabi | Dentist | 4750 E Union Hills Dr Apt 1076, Phoenix, AZ 85050-3366 | 2020-10-15 |
| 1124625793 | Gilbert Crossroads Kids' Dentists and Orthodontics, LLP | Dentist | 835 S. Gilbert Rd, Suite 104, Gilbert, AZ 85296 | 2020-10-06 |
| 1750998969 | Christie Jacques | Dentist | 7410 E Sutton Dr, Scottsdale, AZ 85260-3915 | 2020-09-30 |
| 1447865480 | Luke Michael Mangelsdorf | Dentist | 2249 Hualapai Mountain Rd Ste 1, Kingman, AZ 86401-8321 | 2020-09-15 |
| 1386258689 | Joshua Dutton | Dentist | 8325 W Happy Valley Rd Unit 100, Peoria, AZ 85383-4361 | 2020-09-03 |
| 1912510678 | Nicholas Ahn | Dentist | 1550 E Campbell Ave Apt 3028, Phoenix, AZ 85014-4271 | 2020-08-24 |
| 1992317143 | Justin S Dole | Dentist | 15125 N Scottsdale Rd Apt 303, Scottsdale, AZ 85254-3157 | 2020-08-19 |
| 1326659087 | Triple Eight Dental Group, Pllc | Dentist | 7910 W Thomas Rd Ste 118, Phoenix, AZ 85033-4830 | 2020-08-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. TYLER JAY PHELPS.
| 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.