DR. TIM R AVEDOVECH (NPI# 1225182090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225182090 |
| Entity Type | Individual |
| Full Name | DR. TIM R AVEDOVECH |
| Other Name | DR. TIM R AVEDOVECH |
| Credential | DDS |
| Practice Address |
4035 E Indian School Rd Phoenix AZ 85018-5219 |
| Mailing Address |
2126 E Enid Ave Mesa AZ 85204-4512 |
| Practice Telephone | 6023212414 |
| Practice Fax Number | 4804975162 |
| Mailing Telephone | 6023212414 |
| Mailing Fax Number | 4804975162 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2011-11-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
1598 | AZ | Dental Providers |
| Street Address |
4035 E INDIAN SCHOOL RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85018-5219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023069978 | James Harold Seib | Dentist | 4035 E Indian School Rd, Phoenix, AZ 85018-5219 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467098483 | Skyfalls LLC | Plastic Surgery | 3723 E Sells Drive, Phoenix, AZ 85018 | 2019-11-25 |
| 1568944148 | Avicenna Integrative Medicine Plc | Internal Medicine | 4429 N 44th St, Phoenix, AZ 85018 | 2018-08-30 |
| 1124547682 | Consulting Options, LLC | Orthopaedic Surgery | 5110 North 44th Street, Suite L200, Phoenix, AZ 85018 | 2017-09-15 |
| 1902322472 | Saskia Soliz | Behavioral Analyst | 2940 N 40th Street, Unit 19, Phoenix, AZ 85018 | 2017-08-16 |
| 1700233418 | Harriet Frost | Marriage & Family Therapist | 4500 N. 32nd Street, Suite 100-d, Phoenix, AZ 85018 | 2016-05-23 |
| 1356733547 | Margaret Murphy Conley | Acupuncturist | 3040 N 44th St Ste 3, Phoenix, AZ 85018 | 2015-02-24 |
| 1457766792 | Anne Marie Hatch | Psychiatry & Neurology | 5090 N 40th St Ste 250a, Phoenix, AZ 85018 | 2014-06-25 |
| 1972848315 | Crystal M Ostermeyer | Physician Assistant | 4350 East Camelback Rd, Suite G-100, Phoenix, AZ 85018 | 2012-12-11 |
| 1699029652 | Monte Vista School | Local Education Agency (LEA) | 3501 E. Osborn Road, Phoenix, AZ 85018 | 2012-10-30 |
| 1962754028 | Jill R. Zweig D.o., PC | Psychiatry & Neurology | 5110 N 40th Street, Suite 104, Phoenix, AZ 85018 | 2012-10-12 |
| Find all providers in zip 85018 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932238664 | Paul Frederick Marischen | Dentist | 3443 N Central Ave, Ste 700, Phoenix, AZ 85012-2208 | 2007-03-06 |
| 1124123005 | Gregory A Libby | Dentist | 20950 N Tatum Blvd Ste 340, Phoenix, AZ 85050-4256 | 2006-09-14 |
| 1245252287 | Douglas G Benting Dds Ms Pllc | Dentist | 301 East Bethany Home Rd, Suite C172, Phoenix, AZ 85012 | 2006-07-25 |
| 1902869886 | George Eric Eifler | Dentist | 11130 N. Tatum Blvd, 103, Phoenix, AZ 85028 | 2006-04-11 |
| 1326448309 | Douglas Benting | Dentist | 301 E Bethany Home Rd, Suite C-172, Phoenix, AZ 85012-1263 | 2014-08-27 |
| 1104257963 | Central Avenue Specialty, Pllc. | Dentist | 5133 N Central Ave, Suite 200, Phoenix, AZ 85012-1438 | 2013-12-04 |
| 1437201373 | Patrick James Canaday | Dentist | 3201 W Peoria Ave, 0 709, Phoenix, AZ 85029 | 2007-01-18 |
| 1922178086 | Valley Dental Group, Ltd | Dentist | 4517 N 32nd St, Phoenix, AZ 85018-3339 | 2006-11-08 |
| 1528146917 | Gustavo Tapia | Dentist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2006-11-01 |
| 1205848181 | Gerald Walter Trkula | Dentist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2006-08-12 |
| Find all providers in PHOENIX | ||||
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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.