TOOTH CASTLE PEDIATRIC DENTISTRY, PLLC (NPI# 1407280241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407280241 |
| Entity Type | Organization |
| Organization Name | TOOTH CASTLE PEDIATRIC DENTISTRY, PLLC |
| Practice Address |
10740 W Lower Buckeye Rd Ste 105 Avondale AZ 85323-9655 |
| Mailing Address |
Po Box 32830 Phoenix AZ 85064-2830 |
| Practice Telephone | 6028414400 |
| Mailing Telephone | 6028414400 |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2013-08-28 |
| Authorized Official Name | DR. MARIA ANGELES FUENTES (OWNER) |
| Authorized Official Telephone | 6028414400 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
D6064 | AZ | Dental Providers |
| Street Address |
10740 W LOWER BUCKEYE RD STE 105 |
| City | AVONDALE |
| State | AZ |
| Zip Code | 85323-9655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306031943 | Avon Dental Pllc | Dentist | 10740 W Lower Buckeye Rd Ste 105, Avondale, AZ 85323-9655 | 2007-09-06 |
| 1013526961 | Az Family and Kids Dental Avondale LLC | Dentist | 10740 W Lower Buckeye Rd Ste 105, Avondale, AZ 85323-9655 | 2020-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932663994 | Bridgewater Avondale Operations, LLC | Assisted Living Facility | 295 E Van Buren Street, Avondale, AZ 85323 | 2019-01-24 |
| 1104309152 | Carlos Sifuentes | Physical Therapist | 10750 W Mcdowell Rd., Ste. B-210, Avondale, AZ 85323 | 2018-09-14 |
| 1225534688 | Dayna Sue Kaepp | Registered Nurse | 3300 N. Santa Fe Trail, Avondale, AZ 85323 | 2018-04-04 |
| 1407376700 | Amanda Lynn Radcliffe | Nurse Practitioner | 824 N. 99th Ave Ste 108, Avondale, AZ 85323 | 2017-06-27 |
| 1093253361 | Aquatic-n-writing Rehad | Home Health | 12355 West Cocopah Street, Avondale, AZ 85323 | 2017-02-07 |
| 1750838348 | Annette A Alvarez | Specialist/Technologist | 295 W Western Avenue, Avondale, AZ 85323 | 2016-09-01 |
| 1649726886 | Michelle R Dotson | Contractor | 12115 W Van Buren St Apt 1924, Avondale, AZ 85323 | 2016-08-28 |
| 1619370756 | Amanda Mann | Physical Therapy Assistant | 12804 West Hildalgo, Avondale, AZ 85323 | 2014-10-03 |
| 1326459306 | Ma Caubalejo | Physical Therapist | 350 East La Canada Blvd, Avondale, AZ 85323 | 2014-05-13 |
| 1093139545 | Mark Salvador | Physical Therapy Assistant | 11722 W. Mountain View Dr., Avondale, AZ 85323 | 2014-02-04 |
| Find all providers in zip 85323 | ||||
| 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 |
|---|---|---|---|---|
| 1023498227 | Happy Teeth Avondale | Dentist | 10740 W Lower Buckeye Rd, Avondale, AZ 85323-9655 | 2015-06-02 |
| 1033478334 | Ten Dental LLC | Dentist | 1579 N Dysart Rd, Suite - F, Avondale, AZ 85392-1215 | 2012-05-08 |
| 1124167150 | Alex Ryan Griego | Dentist | 10750 W Mcdowell Rd Ste F610, Avondale, AZ 85392-5976 | 2007-02-06 |
| 1497396113 | Avondale Valley Dental LLC | Dentist | 10750 W Mcdowell Rd Ste F610, Avondale, AZ 85392-5976 | 2019-10-03 |
| 1689100885 | Silverstone Pediatric Group Pllc | Dentist | 13075 W Mcdowell Rd, Suite D-100, Avondale, AZ 85392-6436 | 2017-05-08 |
| 1942669874 | Ranbir Singh | Dentist | 1579 N Dysart Rd Ste F, Avondale, AZ 85392-1221 | 2016-02-20 |
| 1881074318 | Sun Valley Pediatric Dentistry, Pllc | Dentist | 10750 W Mcdowell Rd, Suite F-610, Avondale, AZ 85392-5960 | 2015-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881206274 | Totally Kids Dental P.C. | Dentist | 602 W Union Hills Dr Ste 9, Phoenix, AZ 85027-6629 | 2020-08-18 |
| 1033750724 | Mesa Valley Dental LLC | Dentist | 1220 S Higley Rd Ste 206, Mesa, AZ 85206-4002 | 2019-10-03 |
| 1942841663 | Mesa Kidtastic Dental LLC | Dentist | 1240 W Southern Ave Ste 112, Mesa, AZ 85202-4882 | 2019-10-03 |
| 1497396170 | Gilbert Kidtastic Dental LLC | Dentist | 3303 E Queen Creek Rd Ste 106, Gilbert, AZ 85297-8532 | 2019-10-03 |
| 1386207785 | Cattron's Dmd, Pllc | Dentist | 4024 E Guadalupe Rd Ste 105, Gilbert, AZ 85234-7672 | 2019-04-21 |
| 1578126470 | Scottsdale Pediatric Dental Associates Inc | Dentist | 9280 E Raintree, Suite 108, Scottsdale, AZ 85260 | 2019-04-16 |
| 1194200980 | Highbury Dental Management, LLC | Dentist | 4425 S Mountain Rd, Suite 109, Mesa, AZ 85212 | 2018-09-27 |
| 1568957199 | Maureen Malingkas | Dentist | 8248 W Deer Valley Rd, Peoria, AZ 85382-2198 | 2018-06-26 |
| 1407344567 | Kids Dental Group Pllc | Dentist | 6239 E Brown Rd Ste 102, Mesa, AZ 85205-4933 | 2018-04-24 |
| 1861989121 | Logan Mariano | Dentist | 4383 E Rosemonte Dr, Phoenix, AZ 85050-3407 | 2018-04-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on TOOTH CASTLE PEDIATRIC DENTISTRY, 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.