SCOTTSDALE PEDIATRIC DENTAL ASSOCIATES INC (NPI# 1578126470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578126470 |
| Entity Type | Organization |
| Organization Name | SCOTTSDALE PEDIATRIC DENTAL ASSOCIATES INC |
| Practice Address |
9280 E Raintree, Suite 108 Scottsdale AZ 85260 |
| Practice Telephone | 4804439080 |
| Mailing Telephone | 4804439080 |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2019-04-16 |
| Authorized Official Name | DR. SULIEMAN KASSISIEH (PRESIDENT) |
| Authorized Official Telephone | 4809484010 |
| Authorized Official Credential | DDS, MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Street Address |
9280 E RAINTREE, SUITE 108 |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153377 | Karen Lee Williams | Counselor | 7655 Eest Redfield Rd, Suite 4, Scottsdale, AZ 85260 | 2020-10-29 |
| 1477188001 | Dr. Lynne Remson, Stuttering Specialist, LLC | Clinic/Center | 7950 E. Acoma Dr., Ste 201, Scottsdale, AZ 85260 | 2020-03-04 |
| 1861049967 | Aca Wellness Institute | Registered Nurse | 10752 N. 89th Pl, 8, Ste 203, Scottsdale, AZ 85260 | 2019-08-22 |
| 1811542814 | Haven Home Physicians LLC | Internal Medicine | 15551 N Greenway-hayden Loop, Suite 155, Scottsdale, AZ 85260 | 2019-08-06 |
| 1700431079 | Corey Allen Niles | Physical Therapist | 16413 N 91st Street #c145, Scottsdale, AZ 85260 | 2019-08-05 |
| 1548747645 | Oliver Canizales Renteria | Behavior Technician | 8310 East Cactus Road, Suite # 510, Scottsdale, AZ 85260 | 2018-07-23 |
| 1518454792 | Silent Night Sleep Center Lllp | Durable Medical Equipment & Medical Supplies | 9070 E Desert Cove Ave Ste 105, Scottsdale, AZ 85260 | 2018-04-13 |
| 1669976726 | Steincare Mobile Outpatient, LLC | Occupational Therapist | 9555 E. Raintree Drive, #2057, Scottsdale, AZ 85260 | 2018-03-22 |
| 1437658416 | Megan Anne Deffenbaugh | Behavior Technician | 8130 E Cactus Rd Suite 150, Scottsdale, AZ 85260 | 2018-02-06 |
| 1639695604 | Megan Mcnamee | Dietitian, Registered | 9360 E. Hillery Way, Scottsdale, AZ 85260 | 2017-08-21 |
| Find all providers in zip 85260 | ||||
| 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 |
|---|---|---|---|---|
| 1053660829 | Roberta Ellen Kerr | Dentist | 9280 E Raintree Dr Ste 108, Scottsdale, AZ 85260-7309 | 2012-09-07 |
| 1659537769 | Cheri Kay Roque | Dentist | 10213 N 92nd St Ste H-102, Scottsdale, AZ 85258-4561 | 2008-07-29 |
| 1861607475 | Noel William Korf | Dentist | 9002 E Desert Cove, Suite 100, Scottsdale, AZ 85260-6275 | 2007-05-14 |
| 1306068184 | Yaneav Cohen | Dentist | 14269 N 87th St, Suite 103, Scottsdale, AZ 85260-3693 | 2007-05-03 |
| 1508984170 | Veronica M Martinez | Dentist | 7600 E Camelback Rd Ste 8, Scottsdale, AZ 85251-2106 | 2007-03-26 |
| 1720186257 | Timothy Wilson | Dentist | 6868 E Becker Ln, Suite 101, Scottsdale, AZ 85254-6708 | 2006-09-20 |
| 1104931971 | North Scottsdale Children's Dentistry & Orthodontics | Dentist | 9360 E Raintree Dr, Suite #107, Scottsdale, AZ 85260-2099 | 2006-08-20 |
| 1578524872 | Gretchen Kathleen Henson | Dentist | 7301 E. 2nd St Ncah Heuser Pediatric Dental, Suite 300 - Dental, Scottsdale, AZ 85251 | 2006-03-28 |
| 1326037524 | Douglas G Kerr | Dentist | 3345 E Bell Rd, Ste 1, Scottsdale, AZ 65254 | 2005-10-19 |
| 1003224619 | Children's Dental Specialty Group LLC | Dentist | 7600 E Camelback Rd, Suite 8, Scottsdale, AZ 85251-2106 | 2014-07-27 |
| Find all providers in SCOTTSDALE | ||||
| City | SCOTTSDALE |
| Zip Code | 85260 |
Please comment or provide details below to improve the information on SCOTTSDALE PEDIATRIC DENTAL ASSOCIATES INC.
| 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.