MODERN DENTAL PROFESSIONALS-ARIZONA PC (NPI# 1427325273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427325273 |
| Entity Type | Organization |
| Organization Name | MODERN DENTAL PROFESSIONALS-ARIZONA PC |
| Other Organization Name | BRIGHTNOW PEORIA |
| Practice Address |
9230 W Northern Ave 106 Glendale AZ 85305-1100 |
| Practice Telephone | 6266963990 |
| Practice Fax Number | 6238778831 |
| Mailing Telephone | 6266963990 |
| Mailing Fax Number | 6238778831 |
| Enumeration Date | 2011-11-22 |
| Last Update Date | 2011-11-22 |
| Authorized Official Name | DR. ROY SMITH (PRESIDENT) |
| Authorized Official Telephone | 7144282000 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| BRIGHTNOW PEORIA | Doing Business As Name - Organization |
| Street Address |
9230 W NORTHERN AVE 106 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85305-1100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295368025 | Adam Stanley | Specialist/Technologist | 8769 West Northview Avenue, Glendale, AZ 85305 | 2020-02-20 |
| 1194216200 | Brandon Dawson | Dentist | 9455 W Glendale Ave, Glendale, AZ 85305 | 2018-05-24 |
| 1073030532 | Akdhc Surgery Center, LLC | Internal Medicine | 6622 N 91st Avenue, Suite 100, Glendale, AZ 85305 | 2017-08-25 |
| 1447772835 | Trekfit LLC | Dietitian, Registered | 9033 West State Avenue, Glendale, AZ 85305 | 2017-07-07 |
| 1194255885 | Akdhc,llc | Internal Medicine | 6622 N 91st Ave, Suite 200, Glendale, AZ 85305 | 2017-06-14 |
| 1124334933 | Marlana Angela Morrow | Pharmacist | 8990 W. Glendale Ave., Glendale, AZ 85305 | 2010-08-31 |
| 1750444261 | Norma Euyenia Quintero | Technician | 8950 W Sierra Vista, Glendale, AZ 85305 | 2006-12-18 |
| 1093232514 | O'lua Therapy LLC | Occupational Therapy Assistant | 9524 W Camelback Rd, Ste. C-130 Pmb 232, Glendale, AZ 85305 | 2017-08-25 |
| 1134142409 | German Dobson Cvs LLC | Durable Medical Equipment & Medical Supplies | 9350 W Northern Ave, Glendale, AZ 85305-1103 | 2006-07-26 |
| 1326453002 | Kaiser Sultani | Optometrist | 9350 W Northern Ave, Glendale, AZ 85305-1103 | 2014-06-21 |
| Find all providers in zip 85305 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427660422 | Joson Dental Corporation | Dentist | 1415 E Colorado St Ste C, Glendale, CA 91205-1577 | 2020-08-20 |
| 1558987271 | Edward Kelly Furlong | Dentist | 5400 W Northern Ave Ste 202, Glendale, AZ 85301-1591 | 2020-06-18 |
| 1578116380 | Krina Patel Mesuria | Dentist | 4545 W Beardsley Rd Apt 2083, Glendale, AZ 85308-5080 | 2019-07-20 |
| 1801455068 | Clayton Corbridge | Dentist | 20100 N 51st Ave Ste E550, Glendale, AZ 85308-5089 | 2019-06-11 |
| 1811454481 | Lucio H Kim Dds | Dentist | 620 E Glenoaks Blvd Ste A, Glendale, CA 91207-1769 | 2019-03-01 |
| 1902386634 | Arjun Bassin | Dentist | 7025 N 75th Ave Ste 101, Glendale, AZ 85303-2545 | 2018-08-21 |
| 1194216200 | Brandon Dawson | Dentist | 9455 W Glendale Ave, Glendale, AZ 85305 | 2018-05-24 |
| 1578062121 | Missagh Pezeshkian, D.d. S., A Professional Corporation | Dentist | 1016 E Broadway Ste 104, Glendale, CA 91205-4534 | 2018-02-09 |
| 1073037347 | Ian Phillip Bishop | Dentist | 6249 W Kristal Way, Glendale, AZ 85308-7661 | 2017-07-28 |
| 1801317391 | Christine Tran | Dentist | 18275 N 59th Ave Ste 128, Glendale, AZ 85308-1252 | 2017-07-05 |
| Find all providers in GLENDALE | ||||
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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.