DENTISTRY FOR CHILDREN PLLC (NPI# 1154540367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154540367 |
| Entity Type | Organization |
| Organization Name | DENTISTRY FOR CHILDREN PLLC |
| Practice Address |
1245 E Southern Ave Ste 12 Mesa AZ 85204-5137 |
| Practice Telephone | 4806106544 |
| Practice Fax Number | 4806330670 |
| Mailing Telephone | 4806106544 |
| Mailing Fax Number | 4806330670 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SHARRON KEENE (OFFICE SUPERVISOR) |
| Authorized Official Telephone | 4806106544 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 122300000X | Dentist | 5678 | AZ | Dental Providers |
| X | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
5589 | AZ | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427222017 | Dentistry for Children Pllc | Dentist | 1533 Merrimac Cir Ste 209, Fort Worth, TX 76107-6526 | 2008-04-15 |
| Street Address |
1245 E SOUTHERN AVE STE 12 |
| City | MESA |
| State | AZ |
| Zip Code | 85204-5137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891888772 | Angela Shanthini Ratnam | Dentist | 1245 E Southern Ave, Ste 12, Mesa, AZ 85204-5137 | 2006-10-02 |
| 1205359288 | David Abramowitz | Dentist | 1245 E Southern Ave, Mesa, AZ 85204-5137 | 2017-07-20 |
| 1114010188 | Susan Michelle Larsen | Dentist | 1245 E Southern Ave, Ste 12, Mesa, AZ 85204-5137 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194374819 | Luminations Healing Center, LLC | Social Worker | 1237 S. Val Vista Dr. #221, Mesa, AZ 85204 | 2019-09-05 |
| 1881160356 | Wanjiru Landers | Student in an Organized Health Care Education/Training Program | 550 S Linda Circle, Mesa, AZ 85204 | 2018-10-22 |
| 1649754235 | Adam Desnous | Specialist/Technologist | 751 S Daley, Mesa, AZ 85204 | 2018-09-19 |
| 1982128187 | Michael Anthony Jones | Counselor | 1107 North Gilbert Rd, Mesa, AZ 85204 | 2017-07-29 |
| 1295287225 | Scottsdale Healthcare Corp | Family Medicine | 2530 W. Southern Ave, Mesa, AZ 85204 | 2016-10-25 |
| 1427504158 | Richard White | Physician Assistant | 2345 E Southern Ave # 101, Mesa, AZ 85204 | 2016-09-01 |
| 1548716780 | Pain Stop Accident Injury LLC | Chiropractor | 425 E 11th Ave, Mesa, AZ 85204 | 2016-08-28 |
| 1154704252 | Glenn Taylor Lesueur | Dentist | 1056 S. Val Vista Dr., Suite 1, Mesa, AZ 85204 | 2015-07-07 |
| 1073932513 | Naomi Devine | Nurse Practitioner | 1840 South Stapley Drive, Suite 101, Mesa, AZ 85204 | 2014-04-14 |
| 1609292531 | John Kamau | Counselor | 1060 S Lobin Ln, Mesa, AZ 85204 | 2014-03-17 |
| Find all providers in zip 85204 | ||||
| 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 |
|---|---|---|---|---|
| 1174149157 | Jordan Sunderhaus | Dentist | 1244 N Greenfield Rd Ste 103, Mesa, AZ 85205-4078 | 2020-06-25 |
| 1821613134 | Russell D York | Dentist | 1928 E Main St, Mesa, AZ 85203-9024 | 2020-06-11 |
| 1588200265 | Signal Butte Kids Dentistry and Orthodontics, LLP | Dentist | 10664 E. Point Twenty Two Blvd, Mesa, AZ 85212 | 2019-11-18 |
| 1184268310 | Ocotillo Sleep Solutions LLC | Dentist | 2150 S Dobson Rd Ste 3, Mesa, AZ 85202-6487 | 2019-10-31 |
| 1457906919 | Yana V Gerhardt | Dentist | 1822 S 39th St Unit 35, Mesa, AZ 85206-3828 | 2019-08-01 |
| 1538725387 | Dentists of Mesa, LLP | Dentist | 4401 E Mckellips Rd Ste 102, Mesa, AZ 85215-2558 | 2019-05-17 |
| 1417413063 | Peter Vu | Dentist | 5350 E Hilton Ave, Mesa, AZ 85206-5514 | 2019-02-19 |
| 1235604166 | Implant & Reconstructive Dentistry Pllc | Dentist | 1423 S Higley Rd Ste 117, Mesa, AZ 85206-3450 | 2018-10-07 |
| 1316423353 | Amberwood Dental Partners | Dentist | 840 E Mckellips Rd Ste 101, Mesa, AZ 85203-9654 | 2018-07-12 |
| 1386153823 | Angela S Wilson | Dentist | 1245 E Southern Ave Ste 12, Mesa, AZ 85204-5138 | 2017-09-27 |
| Find all providers in MESA | ||||
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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.