LAKEVIEW DENTISTRY P.C., INC. (NPI# 1073077145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073077145 |
| Entity Type | Organization |
| Organization Name | LAKEVIEW DENTISTRY P.C., INC. |
| Practice Address |
10750 W. Mcdowell Road, Bldg. D410 Avondale AZ 85392 |
| Practice Telephone | 6234742869 |
| Practice Fax Number | 6234742908 |
| Mailing Telephone | 6234742869 |
| Mailing Fax Number | 6234742908 |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2019-01-23 |
| Authorized Official Name | JEHYUN RYU (DENTIST/OWNER) |
| Authorized Official Telephone | 6234742869 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
10750 W. MCDOWELL ROAD, BLDG. D410 |
| City | AVONDALE |
| State | AZ |
| Zip Code | 85392 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100063 | Arizona Imaging Center, LLC | Radiology | 10825 W Mcdowell Rd Suite 130, Avondale, AZ 85392 | 2020-10-02 |
| 1376159053 | Quick Med Center LLC | Clinic/Center | 10825 W Mcdowell Rd Suite 100, Avondale, AZ 85392 | 2020-09-18 |
| 1225641046 | Ambulatory Surgery Centers, LLC | Clinic/Center | 10825 W Mcdowell Rd Suite 110, Avondale, AZ 85392 | 2020-08-31 |
| 1144842394 | National Cardiovascular Surgery Center, LLC | Clinic/Center | 10825 W Mcdowell Rd, Suite 310, Avondale, AZ 85392 | 2020-05-11 |
| 1699249458 | Elaine Van De Wille | Student in an Organized Health Care Education/Training Program | 3609 N 109th Ave, Avondale, AZ 85392 | 2019-01-15 |
| 1750890075 | West Valley Pediatrics | Nurse Practitioner | 10750 West Mcdowell Rd, Suite G700, Avondale, AZ 85392 | 2017-09-29 |
| 1336675305 | Hope-ann Kamler | Licensed Practical Nurse | 2150 North Santa Fe Blvd, Avondale, AZ 85392 | 2017-05-11 |
| 1790237527 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 10285 West Mcdowell Rd, Ste A-102, Avondale, AZ 85392 | 2016-10-27 |
| 1063969137 | Lorri Ward | Registered Nurse | 12750 W Coronado Rd, Avondale, AZ 85392 | 2016-09-07 |
| 1386095511 | Katie Martin | Dentist | 13065 W Mcdowell Rd Ste A101, Avondale, AZ 85392 | 2016-06-29 |
| Find all providers in zip 85392 | ||||
| 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 |
|---|---|---|---|---|
| 1760960736 | Shawn Dhanjal | Dentist | 1430 N Central Ave Ste A, Avondale, AZ 85323-1305 | 2018-08-01 |
| 1073041083 | Shahdi Khoshrou | Dentist | 10210 W Mcdowell Rd Ste 140, Avondale, AZ 85392-4844 | 2017-06-03 |
| 1841536612 | Az Lifetime Dentistry LLC | Dentist | 13065 W Mcdowell Rd Ste 112, Avondale, AZ 85392-6439 | 2012-12-21 |
| 1821305798 | Rancho Santa Fe Dental Group | Dentist | 13048 W Rancho Santa Fe Blvd, 114, Avondale, AZ 85392-1705 | 2010-09-13 |
| 1235445669 | Jared M Mayer | Dentist | 9915 W Mcdowell Rd Ste 105, Avondale, AZ 85392-4897 | 2010-08-23 |
| 1528290699 | Smitha Reddy | Dentist | 1619 N Dysart Rd Ste 105, Avondale, AZ 85392-1200 | 2009-08-21 |
| 1245410232 | Charles Clausen Dds PC | Dentist | 13055 W Mcdowell, #g103, Avondale, AZ 85392 | 2007-11-07 |
| 1124230636 | Friendly Family Dental Care, LLC | Dentist | 1579 N Dysart Road Ste F, Avondale, AZ 85323 | 2007-05-04 |
| 1992834121 | Gateway Dental Group, LLP | Dentist | 9915 West Mcdowell, Suite 106, Avondale, AZ 85323 | 2007-03-05 |
| 1417096306 | Dick Chopra | Dentist | 235 W Western Ave Ste 7, Avondale, AZ 85323-1848 | 2007-02-06 |
| Find all providers in AVONDALE | ||||
Please comment or provide details below to improve the information on LAKEVIEW DENTISTRY P.C., INC..
| 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.