TRENT NIELSEN


Address: 12417 W Encanto Blvd, Avondale, AZ 85392-6515
Phone: 6235332875

TRENT NIELSEN (NPI# 1326420415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326420415
Entity Type Individual
Full Name TRENT NIELSEN
Credential DDS
Practice Address 12417 W Encanto Blvd
Avondale
AZ 85392-6515
Practice Telephone 6235332875
Mailing Telephone 6235332875
Enumeration Date 2015-06-24
Last Update Date 2015-06-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1223D0004X Dentist
Specialization: Dentist Anesthesiologist
30937 TX Dental Providers
Y 1223D0004X Dentist
Specialization: Dentist Anesthesiologist
D009273 AZ Dental Providers

Office Location

Street Address 12417 W ENCANTO BLVD
City AVONDALE
State AZ
Zip Code 85392-6515

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972100063 Arizona Imaging Center, LLC Radiology 10825 W Mcdowell Rd Suite 130, Avondale, AZ 85392 2020-10-02
1376159053 Quick Med Center LLC Clinic/Center 10825 W Mcdowell Rd Suite 100, Avondale, AZ 85392 2020-09-18
1225641046 Ambulatory Surgery Centers, LLC Clinic/Center 10825 W Mcdowell Rd Suite 110, Avondale, AZ 85392 2020-08-31
1144842394 National Cardiovascular Surgery Center, LLC Clinic/Center 10825 W Mcdowell Rd, Suite 310, Avondale, AZ 85392 2020-05-11
1073077145 Lakeview Dentistry P.C., Inc. Dentist 10750 W. Mcdowell Road, Bldg. D410, Avondale, AZ 85392 2019-01-23
1699249458 Elaine Van De Wille Student in an Organized Health Care Education/Training Program 3609 N 109th Ave, Avondale, AZ 85392 2019-01-15
1750890075 West Valley Pediatrics Nurse Practitioner 10750 West Mcdowell Rd, Suite G700, Avondale, AZ 85392 2017-09-29
1336675305 Hope-ann Kamler Licensed Practical Nurse 2150 North Santa Fe Blvd, Avondale, AZ 85392 2017-05-11
1790237527 Visionworks, Inc Eyewear Supplier (Equipment, not the service) 10285 West Mcdowell Rd, Ste A-102, Avondale, AZ 85392 2016-10-27
1063969137 Lorri Ward Registered Nurse 12750 W Coronado Rd, Avondale, AZ 85392 2016-09-07
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Taxonomy Information

Taxonomy Code 1223D0004X
Grouping Dental Providers
Classification Dentist
Specialization Dentist Anesthesiologist

Taxonomy Definition

A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation’s Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
Notes: Source: The American Society of Dentist Anesthesiologists [1/1/2013: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1699252544 Green States Anesthesia Pllc Dentist 3343 E Indigo Bay Ct, Gilbert, AZ 85234-1737 2018-07-24
1760847628 Sleepcare Dental LLC Dentist 625 W Deer Valley Rd Ste 103622, Phoenix, AZ 85027-2138 2015-12-20
1144660358 Thanh Hoang Phan Dentist 14100 N 83rd Ave Ste 280, Peoria, AZ 85381-5660 2013-07-02
1184799538 Reuben Nelson Turner Dentist 625 W Southern Ave Ste E-145, Mesa, AZ 85210-5030 2006-11-21
1811066541 Mari Cynthia Fukami Dentist 625 W Southern Ave, Ste E-145, Mesa, AZ 85210-5030 2006-11-07
1376108035 Tcp Anesthesia Services Pllc Dentist 695 E Cottonwood Ln, Casa Grande, AZ 85122-2023 2019-05-07
1881185791 Comfort Care Anesthesia, LLC Dentist 13601 N Canterbury Dr, Phoenix, AZ 85023-6290 2018-05-25
1689025256 Arizona Dental Anesthesia Pllc Dentist 14100 N 83rd Ave Ste 280, Peoria, AZ 85381-5660 2016-06-24
1700241809 Arizona Anesthesia for Dentistry, LLC Dentist 6600 N Oracle Rd, Ste 110, Tucson, AZ 85704-5676 2015-12-16
1447641139 Minsoek Kang Dentistry, Pllc Dentist 15033 W Bell Rd, Ste 175, Surprise, AZ 85374-3217 2015-02-17
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Competitor

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City AVONDALE
Zip Code 85392

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Dataset Information

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.

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