ANZI DENTAL CENTER 3 (NPI# 1457470882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457470882 |
| Entity Type | Organization |
| Organization Name | ANZI DENTAL CENTER 3 |
| Practice Address |
4202 10th St Se #102 Puyallup WA 98374 |
| Mailing Address |
4202 10th St Se Suite 102 Puyallup WA 98374 |
| Practice Telephone | 2534344401 |
| Practice Fax Number | 2534354404 |
| Mailing Telephone | 2534344401 |
| Mailing Fax Number | 2534354404 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ROSA MARIA CORTESI (OFICE MANAGER) |
| Authorized Official Telephone | 2534354401 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 8264 | WA | Dental Providers |
| Street Address |
4202 10TH ST SE #102 |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073173977 | Courtney Yant | Registered Nurse | 300 3rd St Se, Puyallup, WA 98374 | 2019-06-13 |
| 1013480508 | Tracy Pina | Massage Therapist | 16909 123rd Ave E, Puyallup, WA 98374 | 2019-01-07 |
| 1922524917 | Edith M Wood | Registered Nurse | 13517 152nd St Ct E, Puyallup, WA 98374 | 2017-08-21 |
| 1669875993 | Jillian C S Longway | Registered Nurse | 11102 Sunrise Blvd E Ste 103, Puyallup, WA 98374 | 2014-10-01 |
| 1427302025 | Nadeem Jaffer | Internal Medicine | 3800 3rd St. Se, Puyallup, WA 98374 | 2012-11-04 |
| 1851605356 | Madigan Army Medical Ctr | Clinic/Center | 15600 Meridan Ave, Sunrise Village Center, East Puyallup, WA 98374 | 2010-07-27 |
| 1326368135 | Matt Karl Jahns | Massage Therapist | 2402 20th St Se, Puyallup, WA 98374 | 2010-06-03 |
| 1982833208 | Roxy Sturgeon | Speech-Language Pathologist | 2309 43rd Ave Se, Puyallup, WA 98374 | 2009-07-08 |
| 1497921191 | Morgan Counseling Services Inc. | Substance Abuse Rehabilitation Facility | 10312 120th Street East, Suite #3, Puyallup, WA 98374 | 2008-05-02 |
| 1700055795 | Walter Royal Patterson Jr. | Registered Nurse | 11102 Sunrise Blvd. E., Ste. 103, Woodcreek Healthcare, Puyallup, WA 98374 | 2008-02-25 |
| Find all providers in zip 98374 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371128 | Washington Dental Corporation, PC | Dentist | 732 Shaw Rd Ste B, Puyallup, WA 98372-5276 | 2019-11-26 |
| 1740778695 | Pedraum Heydari | Dentist | 109 N Meridian Suite A, Puyallup, WA 98371 | 2018-04-26 |
| 1982154233 | Korsmo & Henry Dds Ps | Dentist | 5620 112th St E Ste 250, Puyallup, WA 98373-3218 | 2016-10-11 |
| 1871942169 | Dr. Nikolina Nielsen | Dentist | 3850 S Meridian Ste 5, Puyallup, WA 98373-3701 | 2016-06-07 |
| 1174914162 | Nazish Haq | Dentist | 11012 Canyon Rd E Ste 40, Puyallup, WA 98373-4200 | 2015-02-11 |
| 1033540893 | Ching Ju Chuang | Dentist | 1002 N. Meridian, Suite 104a, Puyallup, WA 98371 | 2013-12-04 |
| 1548607344 | Jordan James Zingerman | Dentist | 2921 5th Ave Ne Ste 110, Puyallup, WA 98372-7044 | 2013-06-03 |
| 1366796906 | Cohen, Manavi & Pakravan Inc | Dentist | 15815 Meridian E, Puyallup, WA 98375-6507 | 2012-11-05 |
| 1992059737 | Puyallup Dental, LLC | Dentist | 16420 Meridian E, Puyallup, WA 98375-2514 | 2012-11-01 |
| 1114273422 | Daniel Gilbert Schruth | Dentist | 1002 N Meridian Ste A104, Puyallup, WA 98371-4409 | 2012-07-24 |
| Find all providers in PUYALLUP | ||||
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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.