PARADISE VALLEY PINNACLE PEAK PERIODONTICS (NPI# 1437222809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437222809 |
| Entity Type | Organization |
| Organization Name | PARADISE VALLEY PINNACLE PEAK PERIODONTICS |
| Other Organization Name | PARADISE VALLEY PERIODONTICS |
| Practice Address |
10555 N Tatum Boulevard Suite #a106 Paradise Valley AZ 85253 |
| Practice Telephone | 4809910090 |
| Practice Fax Number | 4809512278 |
| Mailing Telephone | 4809910090 |
| Mailing Fax Number | 4809512278 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. STEVEN GORDON REITAH (PRESIDENT) |
| Authorized Official Telephone | 4809910090 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0300X |
Dentist Specialization: Periodontics |
2104 | AZ | Dental Providers |
| N | 1223P0300X |
Dentist Specialization: Periodontics |
5031 | AZ | Dental Providers |
| N | 1223P0300X |
Dentist Specialization: Periodontics |
6988 | AZ | Dental Providers |
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
5633 | AZ | Dental Providers |
| Other Name | Type Code |
|---|---|
| Paradise Valley Periodontics | Doing Business As Name - Organization |
| Street Address |
10555 N TATUM BOULEVARD SUITE #A106 |
| City | PARADISE VALLEY |
| State | AZ |
| Zip Code | 85253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982114187 | Rss Patricia Greene Pllc | Dentist | 5410 N Scottsdale Rd Ste A200, Paradise Valley, AZ 85253 | 2017-10-03 |
| 1205214418 | Orlando Cabrera | Psychiatry & Neurology | 7007 E. Doubletree Ranch Road, Paradise Valley, AZ 85253 | 2015-05-08 |
| 1841547064 | Gerald Ritt | Pharmacist | 5525 E Lincoln, #127, Paradise Valley, AZ 85253 | 2012-08-07 |
| 1851691711 | Michael J. Bowen | Dentist | 7032 E. Cochise Rd., #100, Scottsdale, AZ 85253 | 2010-10-26 |
| 1548596729 | Elizabeth Louise Garrett | Specialist | 5219 E Via Buena Vista, Paradise Valley, AZ 85253 | 2009-10-23 |
| 1659606622 | Thomas Fishburne Jemison | Naturopath | 10505 N 69th St Ste 1100, Scottsdale, AZ 85253 | 2009-10-08 |
| 1417189408 | Comprehensive Orthopedics, LLC | Orthopaedic Surgery | 10595 N. Tatum Blvd., Suite E 142, Paradise Valley, AZ 85253 | 2009-08-10 |
| 1962691113 | Scottsdale Dental Rehabilitation Cntr Ltd | Dentist | 7170 E Mcdonald Ave, Ste 1, Scottsdale, AZ 85253 | 2007-10-23 |
| 1588866339 | Nendos | Specialist | 8550 N Canta Bello Dr, Pardise Valley, AZ 85253 | 2007-06-04 |
| 1063570810 | Terrance Sheridan | Specialist/Technologist | 3901 E. Stanford Drive, Paradise Vallye, AZ 85253 | 2006-12-05 |
| Find all providers in zip 85253 | ||||
| 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 |
|---|---|---|---|---|
| 1518034057 | Steven Gordon Reitan | Dentist | 10555 N Tatum Blvd, Suite A106, Paradise Valley, AZ 85253-1097 | 2006-11-29 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | PARADISE VALLEY |
| Zip Code | 85253 |
Please comment or provide details below to improve the information on PARADISE VALLEY PINNACLE PEAK PERIODONTICS.
| 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.