NORTHWEST ENDODONTICS (NPI# 1629289491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629289491 |
| Entity Type | Organization |
| Organization Name | NORTHWEST ENDODONTICS |
| Practice Address |
7972 W Thunderbird Rd Suite 103 Peoria AZ 85381-4903 |
| Practice Telephone | 6239791313 |
| Practice Fax Number | 6235053678 |
| Mailing Telephone | 6239791313 |
| Mailing Fax Number | 6235053678 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. SCOTT WILLIAM PACE (OWNER) |
| Authorized Official Telephone | 6239791313 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
4948 | AZ | Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | NORTHWEST ENDODONTICS | 18395 Sw Alexander St, Suite A, Aloha, OR 97003 |
| Street Address |
7972 W THUNDERBIRD RD SUITE 103 |
| City | PEORIA |
| State | AZ |
| Zip Code | 85381-4903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437124278 | Spencer W Crook | Dentist | 7972 W Thunderbird Rd, Suite #103, Peoria, AZ 85381-4903 | 2006-02-22 |
| 1598161887 | Phoenix Hand Surgery, LLC | Clinic/Center | 7972 W Thunderbird Rd, Peoria, AZ 85381-4903 | 2014-11-13 |
| 1093943219 | Medshape Weight Loss Clinic, LLC | Clinic/Center | 7972 W Thunderbird Rd, 106, Peoria, AZ 85381-4903 | 2009-06-25 |
| 1518906544 | Paul S Mahoney | Orthopaedic Surgery | 7972 W Thunderbird Rd, Suite 104, Peoria, AZ 85381-4903 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712122 | Vicki L Grenier | Registered Nurse | 7558 W. Thunderbird Rd. Ste 1-507, Peoria, AZ 85381 | 2020-08-26 |
| 1568934107 | Earthwalk Wellness Group, LLC | Social Worker | 14050 North 83rd Avenue, Suite 290, Peoria, AZ 85381 | 2018-12-20 |
| 1316412059 | John & Biljana Feeley Dba J & B Assisted Living IIi Inc | Community Based Residential Treatment Facility, Mental Illness | 7331 W Sweetwater Avenue, Peoria, AZ 85381 | 2018-10-09 |
| 1467958611 | Arizona Community Pharmacy | Pharmacy | 14100 N 83rd Ave Ste 160, Peoria, AZ 85381 | 2018-04-04 |
| 1083112106 | Marissa Lynn Desjardins | Physical Therapist | 8240 W. Cactus Rd. Oakeson Physical Therapy, Peoria, AZ 85381 | 2018-01-23 |
| 1235651399 | Power Back Batteries LLC | Durable Medical Equipment & Medical Supplies | 9054 West Lisbon Ave, Peoria, AZ 85381 | 2017-07-11 |
| 1457897027 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 7524 W. Alexandria Way, Peoria, AZ 85381 | 2017-01-06 |
| 1386023448 | Scott Boone | Registered Nurse | 7715 W Watson Ln, Peoria, AZ 85381 | 2015-05-22 |
| 1881084838 | Pinnacle Women's Center LLC | Obstetrics & Gynecology | 15396 N 83rd Ave Ste F100, Peoria, AZ 85381 | 2015-01-29 |
| 1245637081 | Kathi Locke | Counselor | 13460 N. 94th Drive, Suite J2, Peoria, AZ 85381 | 2014-11-21 |
| Find all providers in zip 85381 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083926992 | Nathan John Hinckley | Dentist | 8085 W Bell Rd Ste 103, Peoria, AZ 85382-3825 | 2010-07-08 |
| 1275606592 | John B. Dale, Dmd, Ms, P.C. | Dentist | 7314 N Willow Lake Ct, Suite A, Peoria, IL 61614-8277 | 2006-11-16 |
| 1760567291 | Scott William Pace | Dentist | 7972 W Thunderbird Rd Ste 103, Peoria, AZ 85381-4903 | 2006-10-25 |
| 1306889555 | James Jeffery Baldi | Dentist | 3813 N Sterling Ave, Peoria, IL 61615-4230 | 2006-06-14 |
| 1437124278 | Spencer W Crook | Dentist | 7972 W Thunderbird Rd, Suite #103, Peoria, AZ 85381-4903 | 2006-02-22 |
| 1508868209 | Ldj Endodontics, Ltd | Dentist | 8632 W Clara Ln, Peoria, AZ 85382-1429 | 2005-08-12 |
| 1962818633 | Cody Heslington | Dentist | 14155 N 83rd Ave, Suite 7-141, Peoria, AZ 85381-5639 | 2014-07-02 |
| 1700158227 | John B. Dale | Dentist | 7314 N Willow Lake Ct, Suite A, Peoria, IL 61614-8277 | 2012-01-30 |
| 1346579240 | Katherine A. Kuntz-jakuc | Dentist | 6901 N Knoxville Ave, Suite 100, Peoria, IL 61614 | 2009-12-24 |
| 1740515691 | Sunset Endodontics, Ltd. | Dentist | 8632 W Clara Ln, Peoria, AZ 85382-1429 | 2009-10-10 |
| 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.