DR. ELIZABETH M TANDY (NPI# 1346239555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346239555 |
| Entity Type | Individual |
| Full Name | DR. ELIZABETH M TANDY |
| Credential | DMD |
| Practice Address |
633 E Ray Rd Suite 104 Gilbert AZ 85296-4200 |
| Mailing Address |
4756 E. Bighorn Avenue Phoenix AZ 85044 |
| Practice Telephone | 4807821131 |
| Practice Fax Number | 4808557088 |
| Mailing Telephone | 4806649504 |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
D7045 | AZ | Dental Providers |
| Street Address |
633 E RAY RD SUITE 104 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85296-4200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972595940 | Sean K Sackett | Family Medicine | 633 E Ray Rd, Suite 133, Gilbert, AZ 85296-4200 | 2005-08-16 |
| 1952727984 | Preferred Foot and Ankle Specialists of Arizona, Pllc | Podiatrist | 633 E Ray Rd, Ste. 128, Gilbert, AZ 85296-4200 | 2014-03-14 |
| 1760804991 | Mikkel Jarman | Podiatrist | 633 E Ray Rd, Ste 128, Gilbert, AZ 85296-4200 | 2014-01-07 |
| 1952739849 | Ubong Attah Prince | Naturopath | 633 E Ray Rd, Suite 110, Gilbert, AZ 85296-4200 | 2013-10-31 |
| 1801139712 | Heartfit for Duty, LLC | Nurse Practitioner | 633 E Ray Rd, Suite 101, Gilbert, AZ 85296-4200 | 2013-03-28 |
| 1295009561 | Heartfit for Duty LLC | Nurse Practitioner | 633 E Ray Rd, Suite 101, Gilbert, AZ 85296-4200 | 2012-03-02 |
| 1396056131 | Allery and Asthma Center of Arizona Plc | Allergy & Immunology | 633 E Ray Rd, 101, Gilbert, AZ 85296-4200 | 2010-06-26 |
| 1396924551 | Wright Chiropractic LLC | Clinic/Center | 633 E Ray Rd, Ste 110, Gilbert, AZ 85296-4202 | 2007-10-24 |
| 1629273859 | Arizona Sun Family Medicine P.C. | Family Medicine | 633 E Ray Rd, #101, Gilbert, AZ 85296-4200 | 2007-06-18 |
| 1265651145 | Katheryn J. Swedrock | Naturopath | 633 E Ray Rd, Suite 110, Gilbert, AZ 85296-4200 | 2007-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124625793 | Gilbert Crossroads Kids' Dentists and Orthodontics, LLP | Dentist | 835 S. Gilbert Rd, Suite 104, Gilbert, AZ 85296 | 2020-10-06 |
| 1306455969 | Calm Care Living | Community/Behavioral Health | 1525 S Higley Rd, #104-6769, Gilbert, AZ 85296 | 2020-07-29 |
| 1366080970 | Hannah Golladay | Behavior Technician | 1166 S Gilbert Road, Suite 106, Mesa, AZ 85296 | 2019-12-13 |
| 1194284729 | Kege Health, LLC | Nurse Practitioner | 1206 E Warner Rd Ste 101f, Gilbert, AZ 85296 | 2019-03-13 |
| 1841757762 | Windhorse Counseling | Counselor | 1166 E Warner Road, Suite 203, Gilbert, AZ 85296 | 2019-02-27 |
| 1417424284 | Ashton N Wright | Behavior Technician | 1166 E Gilbert Rd, #106, Gilbert, AZ 85296 | 2018-10-30 |
| 1346717246 | Robison Orthodontics LLC | Dentist | 1355 S Higley Rd # 105, Gilbert, AZ 85296 | 2018-10-29 |
| 1518441831 | Kara Lyn Holyoak | Physician Assistant | 1359 S. Porter St., Gilbert, AZ 85296 | 2018-09-21 |
| 1225519119 | Jennifer Anne Goodman | Specialist/Technologist | 70 S Val Vista Dr A3, Gilbert, AZ 85296 | 2018-08-28 |
| 1437642329 | Greta Shumway | Counselor | 690 E. Warner Road, #115, Gilbert, AZ 85296 | 2018-06-14 |
| Find all providers in zip 85296 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568629236 | Scott Daniel Adashek | Dentist | 2080 E Williams Field Rd Ste 104, Gilbert, AZ 85295 | 2008-05-20 |
| 1356712087 | Phillip Garrett Jr. | Dentist | 2080 E Williams Field Rd Ste 104, Gilbert, AZ 85295-0707 | 2015-10-07 |
| 1992764666 | Jeffrey C. H. Chow | Dentist | 2450 E Guadalupe Rd, Suite 104, Gilbert, AZ 85234-5116 | 2006-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316582323 | Green Valley Dental Specialties | Dentist | 101 S La Canada Dr Ste 54, Green Valley, AZ 85614-2664 | 2019-11-13 |
| 1235697939 | Leslie I. Davis, Bds, Dds, PC | Dentist | 13802 W Camino Del Sol Ste 103, Sun City West, AZ 85375-4486 | 2019-03-12 |
| 1427522788 | Arizona Center for Oral Health Pllc | Dentist | 5900 N Granite Reef Rd Ste 103, Scottsdale, AZ 85250-6281 | 2019-01-18 |
| 1962973347 | Pete N Mellas Dmd Ms Pllc | Dentist | 4910 E Greenway Rd Ste 2, Scottsdale, AZ 85254-1653 | 2018-12-11 |
| 1376019075 | East Valley Implant & Periodontal Center | Dentist | 3048 E Baseline Rd Ste 112, Mesa, AZ 85204-7287 | 2018-10-19 |
| 1386095511 | Katie Martin | Dentist | 13065 W Mcdowell Rd Ste A101, Avondale, AZ 85392 | 2016-06-29 |
| 1457719114 | Mountain Park Dentistry L.L.C. | Dentist | 15215 S 48th St Ste 175, Phoenix, AZ 85044-9140 | 2016-02-09 |
| 1780069997 | J Brent Sanders Dds PC | Dentist | 7505 W Deer Valley Rd Ste 130, Peoria, AZ 85382-2107 | 2015-07-29 |
| 1679986301 | Leslie Darnell | Dentist | 7425 E Shea Blvd Ste 110, Scottsdale, AZ 85260-6411 | 2014-06-10 |
| 1235486507 | Clark Mackelprang | Dentist | 2330 N Rosemont Blvd Unit A, Tucson, AZ 85712-2159 | 2012-08-06 |
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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.