COSMOPOLITAN DENTAL (NPI# 1083735245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083735245 |
| Entity Type | Organization |
| Organization Name | COSMOPOLITAN DENTAL |
| Practice Address |
1301 Bertha Howe Ave Suite 5 Mesquite NV 89027-7502 |
| Mailing Address |
Po Box 2608 Mesquite NV 89024-2608 |
| Practice Telephone | 7023452299 |
| Practice Fax Number | 7023452303 |
| Mailing Telephone | 7023452299 |
| Mailing Fax Number | 7023452303 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2016-02-17 |
| Authorized Official Name | THERESA R WOOLRIDGE-OFORI (OWNER) |
| Authorized Official Telephone | 7023452299 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
4669 | NV | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 100505709 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | COSMOPOLITAN DENTAL SUPPLY & SERVICE INC. | 683 Kearny Ave, Kearny, NJ 07032 |
| New York State Corporations | COSMOPOLITAN DENTAL, OF BROOKLYN P.C. | 372 86th Street, Brooklyn, Ny 11209 |
| New York State Corporations | COSMOPOLITAN DENTAL, P.C. | 245 East 58th Street, 6-e, New York, Ny 10022 |
| Street Address |
1301 BERTHA HOWE AVE SUITE 5 |
| City | MESQUITE |
| State | NV |
| Zip Code | 89027-7502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356342364 | Michael Justin Gorman | Family Medicine | 1301 Bertha Howe Ave, Suite 1, Mesquite, NV 89027-7502 | 2005-08-02 |
| 1851767115 | John Vincent Rider | Occupational Therapist | 1301 Bertha Howe Ave, Suite 7, Mesquite, NV 89027-7502 | 2015-08-20 |
| 1902298243 | Aumbria Health and Aesthetics LLC | Internal Medicine | 1301 Bertha Howe Ave, Ste# 2, Mesquite, NV 89027-7502 | 2015-02-24 |
| 1750782736 | Brenda Sue Siolo | Nurse Practitioner | 1301 Bertha Howe Ave, Ste.1, Mesquite, NV 89027-7502 | 2014-09-10 |
| 1083900716 | Curtis Doug Jensen | Physical Therapist | 1301 Bertha Howe Ave, Suite 7, Mesquite, NV 89027-7502 | 2011-06-21 |
| 1801117239 | Matthew Tameichi Holt | Physical Therapist | 1301 Bertha Howe Ave, Suite 7, Mesquite, NV 89027 | 2010-06-21 |
| 1659695203 | Tracy Lynn Rodgers | Registered Nurse | 1301 Bertha Howe Ave, Ste 2, Mesquite, NV 89027-7502 | 2010-03-24 |
| 1669796314 | Erica Ann Garrett | Registered Nurse | 1301 Bertha Howe Ave, Ste 2, Mesquite, NV 89027-7502 | 2010-03-24 |
| 1124355243 | Advanced Wound Care Consultants LLC | Registered Nurse | 1301 Bertha Howe Ave, Suite 9, Mesquite, NV 89027-7502 | 2009-11-10 |
| 1467787192 | Alfaro Ltd | Specialist | 1301 Bertha Howe Ave, Suite 8, Mesquite, NV 89027-7502 | 2009-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194388439 | Michael Shay Nielson | Occupational Therapist | 1140 W. Pioneer Blvd, Mesquite, NV 89027 | 2019-04-22 |
| 1104330059 | Pinnacle Absolute Care | Pharmacy | 114 N. Sandhill Blvd, Suite B, Mesquite, NV 89027 | 2017-11-29 |
| 1811346901 | Rodney Briggs | Physician Assistant | 1925 Whipple Ave. Ste. 30, Logandale, NV 89027 | 2016-06-08 |
| 1881085843 | Sylvan M. Johnson | Physical Therapist | 340 Falcon Ridge Pkwy # 500, Mesquite, NV 89027 | 2015-02-12 |
| 1326281882 | Gladys Kodjoe | Internal Medicine | 350 Falcon Ridge Pkwy Ste 102, Mesquite, NV 89027 | 2009-04-14 |
| 1316010432 | Mesquite Medical Equipment | Durable Medical Equipment & Medical Supplies | 330 Falcon Ridge Pkwy Ste 400b, Mesquite, NV 89027 | 2006-11-16 |
| 1316982028 | Kyle Devon Andrus | Optometrist | 330 N. Sandhill Blvd, Suite A, Mesquite, NV 89027 | 2006-06-17 |
| 1366409633 | Stephen R Hamilton | Registered Nurse | 1299 Bertha Howe Avenue, Mesquite, NV 89027 | 2006-04-28 |
| 1386642460 | Desert Health Care Facilities, Inc. | Skilled Nursing Facility | 272 Pioneer Blvd, Mesquite, NV 89027 | 2005-07-12 |
| 1205838265 | Marchant Physical Therapy & Wellness, Inc. | Specialist | 340 Falcon Ridge Parkway, Building 500, Mesquite, NV 89027 | 2005-06-02 |
| Find all providers in zip 89027 | ||||
| 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 |
|---|---|---|---|---|
| 1609411800 | Mesquite Dental Clinic Pllc | Dentist | 2411 N Galloway Ave Ste 128, Mesquite, TX 75150-7688 | 2019-11-12 |
| 1639661150 | Truecare Dentistry Pllc | Dentist | 1080 E Cartwright Rd Ste 180, Mesquite, TX 75149-6621 | 2018-05-31 |
| 1245751114 | Payden Blake Anderson | Dentist | 340 Falcon Ridge Pkwy Ste 303, Mesquite, NV 89027-8851 | 2017-06-30 |
| 1053769356 | My Teeth Dental Orthodontics Pllc | Dentist | 2063 Town East Mall Ste 1036, Mesquite, TX 75150-4118 | 2016-05-26 |
| 1215397617 | Orange Dental Pllc | Dentist | 2615 Interstate 30, Mesquite, TX 75150-2704 | 2016-02-26 |
| 1821497900 | Dawit Goshimea | Dentist | 1336 N Galloway Ave Ste 110, Mesquite, TX 75149-2490 | 2014-08-14 |
| 1962816355 | Rene Javier Loera Jr. | Dentist | 3133 N Town East Blvd, Mesquite, TX 75150 | 2014-06-13 |
| 1952711681 | Divya Nagaraj | Dentist | 1050 N Belt Line Rd Ste 102, Mesquite, TX 75149-1771 | 2014-05-02 |
| 1164848628 | Jordan Blake Mchone | Dentist | 1765 N Town East Blvd Ste 111, Mesquite, TX 75150 | 2014-03-07 |
| 1346591906 | Tae Gon Song | Dentist | 507 N Galloway Ave, Mesquite, TX 75149-3405 | 2012-09-24 |
| Find all providers in MESQUITE | ||||
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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.