SOUTHWEST DENTAL PROFESSIONALS PLLC (NPI# 1154622249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154622249 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST DENTAL PROFESSIONALS PLLC |
| Practice Address |
316 W Angus Rd Queen Creek AZ 85143-4989 |
| Practice Telephone | 4803902060 |
| Mailing Telephone | 4803902060 |
| Enumeration Date | 2010-11-05 |
| Last Update Date | 2010-11-05 |
| Authorized Official Name | DR. LAWRENCE G GROOP (OWNER/PRES) |
| Authorized Official Telephone | 4806641449 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
D08719 | AZ | Dental Providers |
| Y | 122300000X | Dentist | D07819 | AZ | Dental Providers |
| Street Address |
316 W ANGUS RD |
| City | QUEEN CREEK |
| State | AZ |
| Zip Code | 85143-4989 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619457785 | Shalom Behavioral Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 35301 N Belgian Blue Ct, San Tan Valley, AZ 85143 | 2018-08-18 |
| 1336662337 | House of Dignity Assisted Living LLC | Assisted Living Facility | 214 W Danish Red Trl, San Tan Valley, AZ 85143 | 2017-07-21 |
| 1942744081 | Arizona Dental Professionals, PC | Dentist | 545 E Hunt Hwy, San Tan Valley, AZ 85143 | 2016-12-08 |
| 1285000786 | Jared Scott Snyder | Physical Therapy Assistant | 1745 E Hunt Hwy, Suite 103, San Tan Valley, AZ 85143 | 2015-08-19 |
| 1801289236 | Tiffany Battle | Behavioral Analyst | 2626 E. Manuel Road, San Tan Valley, AZ 85143 | 2015-03-10 |
| 1437541091 | Kelly Denise Griffin | Registered Nurse | 35945 N. Gary Rd, Suite 101, San Tan Valley, AZ 85143 | 2015-02-19 |
| 1528496031 | Casey Manzanedo | Licensed Practical Nurse | 35900 E Charbray Dr., San Tan Valley, AZ 85143 | 2013-10-18 |
| 1891136461 | Lisa Kay Scarpa | Home Health Aide | 925 E Canyon Rock Rd, San Tan Valley, AZ 85143 | 2013-07-11 |
| 1790969426 | Emilia Elizabeth Gomez Vieytez | Pediatrics | 22707 S. Ellsworth Rd H 101, Queen Creek, AZ 85143 | 2007-12-17 |
| 1205814621 | Janet F Rinehart | Family Medicine | 30046 N Varnum Rd, San Tan Valley, AZ 85143 | 2006-01-05 |
| Find all providers in zip 85143 | ||||
| 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 |
|---|---|---|---|---|
| 1043701899 | Brittany Leigh Amor | Dentist | 18550 E Rittenhouse Rd Ste 103, Queen Creek, AZ 85142 | 2018-05-28 |
| 1114377751 | Charles W Culler | Dentist | 18610 E Rittenhouse Rd Ste A103, Queen Creek, AZ 85142-4504 | 2016-06-14 |
| 1003285834 | Spencer Torgerson | Dentist | 22717 S Ellsworth Rd # R, Suite B102, Queen Creek, AZ 85142-6127 | 2015-09-23 |
| 1295158947 | Douglas B Hunt PC | Dentist | 22711 S Ellsworth Rd, Queen Creek, AZ 85142-6788 | 2014-01-31 |
| 1689015398 | Mindi Alyse D'elia | Dentist | 1714 W Hunt Hwy, Ste 102, Queen Creek, AZ 85143-5244 | 2013-07-10 |
| 1972943793 | Jaime Jeanette Norton | Dentist | 18550 E Rittenhouse Rd, 103, Queen Creek, AZ 85142-4598 | 2013-06-25 |
| 1437598216 | Cody Cutler | Dentist | 23844 S Power Rd, Ste. B106, Queen Creek, AZ 85142-6152 | 2013-06-14 |
| 1275971988 | Mark A Johnson | Dentist | 1714 W Hunt Hwy Ste 100, Queen Creek, AZ 85143-5245 | 2013-06-05 |
| 1164770392 | Michael Edward Holub | Dentist | 21582 S Ellsworth Loop Rd Ste 126, Queen Creek, AZ 85142-7882 | 2012-08-20 |
| 1396025573 | Cameron Weaver Blyth | Dentist | 22211 South Elsworth Rd, Queen Creek, AZ 85142 | 2011-08-19 |
| Find all providers in QUEEN CREEK | ||||
| City | QUEEN CREEK |
| Zip Code | 85143 |
Please comment or provide details below to improve the information on SOUTHWEST DENTAL PROFESSIONALS PLLC.
| 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.