ARCADIA PEDIATRIC DENTISTRY, LLC (NPI# 1205351392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205351392 |
| Entity Type | Organization |
| Organization Name | ARCADIA PEDIATRIC DENTISTRY, LLC |
| Practice Address |
5717 E Thomas Rd Ste 110 Scottsdale AZ 85251-7509 |
| Mailing Address |
20430 N 19th Ave Ste 140 Phoenix AZ 85027-3590 |
| Practice Telephone | 4802075070 |
| Practice Fax Number | 4803043005 |
| Mailing Telephone | 6232829959 |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2017-08-10 |
| Authorized Official Name | GAIL E GARRISON (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 6232829959 |
| Authorized Official Credential | PHR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities | ||
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Street Address |
5717 E THOMAS RD STE 110 |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85251-7509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627179 | Elena Andrea Flores | Social Worker | 4253 N Craftsman Ct Ste 11, Scottsdale, AZ 85251 | 2020-10-21 |
| 1235785312 | Live Breathe Nutrition | Dietitian, Registered | 3295 N Drinkwater Blvd Suite 3, Scottsdale, AZ 85251 | 2019-08-14 |
| 1316505977 | Scottsdale Pulmonary and Critical Care, LLC | Internal Medicine | 7301 E. 2nd St., Suite 315, Scottsdale, AZ 85251 | 2019-05-30 |
| 1144887449 | Suzanne Berndt | Counselor | 7530 E Angus Drive, Scottsdale, AZ 85251 | 2019-05-22 |
| 1699243071 | Surgical Neuromonitoring Solutions, LLC | Psychiatry & Neurology | 6926 North Hayden Road C4-461, Scottsdale, AZ 85251 | 2018-11-05 |
| 1295202828 | Neuromonitoring Surgical Services, LLC | Psychiatry & Neurology | 13370 North Hayden Road #133-269, Scottsdale, AZ 85251 | 2018-11-01 |
| 1275048316 | Valley of The Sun Institute for Pain Management, Pllc | Physical Medicine & Rehabilitation | 4900 N Scottsdale Rd, Scottsdale, AZ 85251 | 2017-12-12 |
| 1972022093 | Wound Management Solutions LLC | Surgery | 6900 E Camelback Road, Suite 900, Scottsdale, AZ 85251 | 2017-09-11 |
| 1043749872 | Bradley Holman Glenn | Family Medicine | 7301 E 2nd St., Ste. 210, Heuser Family Medicine Center, Scottsdale, AZ 85251 | 2017-06-06 |
| 1366988750 | Arika Cozzi | Specialist/Technologist | 8145 E Camelback Rd, Apt. #142, Scottsdale, AZ 85251 | 2017-01-10 |
| Find all providers in zip 85251 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578126470 | Scottsdale Pediatric Dental Associates Inc | Dentist | 9280 E Raintree, Suite 108, Scottsdale, AZ 85260 | 2019-04-16 |
| 1053660829 | Roberta Ellen Kerr | Dentist | 9280 E Raintree Dr Ste 108, Scottsdale, AZ 85260-7309 | 2012-09-07 |
| 1659537769 | Cheri Kay Roque | Dentist | 10213 N 92nd St Ste H-102, Scottsdale, AZ 85258-4561 | 2008-07-29 |
| 1861607475 | Noel William Korf | Dentist | 9002 E Desert Cove, Suite 100, Scottsdale, AZ 85260-6275 | 2007-05-14 |
| 1306068184 | Yaneav Cohen | Dentist | 14269 N 87th St, Suite 103, Scottsdale, AZ 85260-3693 | 2007-05-03 |
| 1508984170 | Veronica M Martinez | Dentist | 7600 E Camelback Rd Ste 8, Scottsdale, AZ 85251-2106 | 2007-03-26 |
| 1720186257 | Timothy Wilson | Dentist | 6868 E Becker Ln, Suite 101, Scottsdale, AZ 85254-6708 | 2006-09-20 |
| 1104931971 | North Scottsdale Children's Dentistry & Orthodontics | Dentist | 9360 E Raintree Dr, Suite #107, Scottsdale, AZ 85260-2099 | 2006-08-20 |
| 1578524872 | Gretchen Kathleen Henson | Dentist | 7301 E. 2nd St Ncah Heuser Pediatric Dental, Suite 300 - Dental, Scottsdale, AZ 85251 | 2006-03-28 |
| 1326037524 | Douglas G Kerr | Dentist | 3345 E Bell Rd, Ste 1, Scottsdale, AZ 65254 | 2005-10-19 |
| Find all providers in SCOTTSDALE | ||||
| City | SCOTTSDALE |
| Zip Code | 85251 |
Please comment or provide details below to improve the information on ARCADIA PEDIATRIC DENTISTRY, LLC.
| 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.