LAKE PLEASANT KIDS DENTISTS AND ORTHODONTICS, LLP (NPI# 1528694247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528694247 |
Entity Type | Organization |
Organization Name | LAKE PLEASANT KIDS DENTISTS AND ORTHODONTICS, LLP |
Practice Address |
24775 North Lake Pleasant Parkway Suite 104 Peoria AZ 85383 |
Mailing Address |
17000 Red Hill Ave Irvine CA 92614-5626 |
Practice Telephone | 6236004638 |
Practice Fax Number | 6237074098 |
Enumeration Date | 2020-03-13 |
Last Update Date | 2020-03-13 |
Authorized Official Name | ERIC ELLIS (OWNER) |
Authorized Official Telephone | 6236004638 |
Authorized Official Credential | DMD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122300000X | Dentist | Dental Providers |
Other Name | Type Code |
---|---|
Lake Pleasant Kids Dentists and Orthoontics | Doing Business As Name - Organization |
Street Address |
24775 NORTH LAKE PLEASANT PARKWAY SUITE 104 |
City | PEORIA |
State | AZ |
Zip Code | 85383 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831701218 | West Point Optical Group | Optometrist | 24775 N. Pleasant Pkwy, Peoria, AZ 85383 | 2020-08-18 |
1124502273 | Nicole Angelina Hennigan | Registered Nurse | 9710 W. Happy Valley Rd, Suite 100 (salon 16), Peoria, AZ 85383 | 2018-09-24 |
1962994012 | Reach for The Stars Pediatric Therapy Pllc | Physical Therapy Assistant | 8662 W Lariat Ln, Peoria, AZ 85383 | 2018-06-05 |
1013417617 | Elite Infusions LLC | Internal Medicine | 10252 W Villa Chula, Peoria, AZ 85383 | 2018-02-20 |
1427577238 | Serene Valley Care LLC | Assisted Living Facility | 29751 N 119th Lane, Peoria, AZ 85383 | 2017-09-12 |
1255857827 | Advanced Air Amulance LLC | Ambulance | 9463 West El Cortez Place, Peoria, AZ 85383 | 2017-08-16 |
1427578996 | Paul R Arthur | Physical Therapist | 9745 W. Happy Valley Rd, Peoria, AZ 85383 | 2017-06-26 |
1528597143 | Lucy Denton | Specialist/Technologist | 9234 West Andrea Drive, Peoria, AZ 85383 | 2017-06-07 |
1801263579 | John Leano | Pharmacist | 26898 N 87th Dr, Peoria, AZ 85383 | 2015-08-28 |
1508296492 | Lisa De Croix-denton | Specialist/Technologist | 9234 W. Andrea Dr, Peoria, AZ 85383 | 2013-11-14 |
Find all providers in zip 85383 |
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 |
---|---|---|---|---|
1386258689 | Joshua Dutton | Dentist | 8325 W Happy Valley Rd Unit 100, Peoria, AZ 85383-4361 | 2020-09-03 |
1750908992 | Asfia Kauser | Dentist | 4325 W Castleton Rd, Peoria, IL 61615-2821 | 2020-07-04 |
1114588217 | Kong Xing Wang | Dentist | 320 East Armstrong Ave, Peoria, IL 61603 | 2019-06-28 |
1669958781 | Plaza Family Dental Inc | Dentist | 9145 W Thunderbird Rd Ste H105, Peoria, AZ 85381-4820 | 2018-07-11 |
1578058293 | Bhumikaben Patel | Dentist | 5400 W Sienna Ln Apt 2202, Peoria, IL 61615-7857 | 2018-06-25 |
1265926729 | Vogue Dental Peoria LLC | Dentist | 3510 N University St Ste A, Peoria, IL 61604-1346 | 2018-06-19 |
1841784493 | Jeffrey Jay Chen | Dentist | 9016 N Allen Rd Ste B, Peoria, IL 61615-1560 | 2018-06-18 |
1013422138 | Joseph Nicholas Taylor | Dentist | 7310 N Villa Lake Dr Ste B, Peoria, IL 61614-8268 | 2017-12-12 |
1457881351 | Jaclyn Macdonald | Dentist | 2214 N University St, Peoria, IL 61604-3221 | 2017-06-14 |
1366985418 | Morgan Rae Renner | Dentist | 6926 N University St, Peoria, IL 61614-1750 | 2016-11-22 |
Find all providers in PEORIA |
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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.