DR. BRUCE JAY ETKIN (NPI# 1629376009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629376009 |
| Entity Type | Individual |
| Full Name | DR. BRUCE JAY ETKIN |
| Credential | DDS, CAGS |
| Practice Address |
7181 E Camelback Rd Apt 1201 Scottsdale AZ 85251-1279 |
| Practice Telephone | 4802238990 |
| Practice Fax Number | 4809912474 |
| Mailing Telephone | 4802238990 |
| Mailing Fax Number | 4809912474 |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2011-03-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
2188 | AZ | Dental Providers |
| Street Address |
7181 E CAMELBACK RD APT 1201 |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85251-1279 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750511358 | Talayeh Afkhami | Dentist | 7181 E Camelback Rd, 701, Scottsdale, AZ 85251-1279 | 2009-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627179 | Elena Andrea Flores | Social Worker | 4253 N Craftsman Ct Ste 11, Scottsdale, AZ 85251 | 2020-10-21 |
| 1235785312 | Live Breathe Nutrition | Dietitian, Registered | 3295 N Drinkwater Blvd Suite 3, Scottsdale, AZ 85251 | 2019-08-14 |
| 1316505977 | Scottsdale Pulmonary and Critical Care, LLC | Internal Medicine | 7301 E. 2nd St., Suite 315, Scottsdale, AZ 85251 | 2019-05-30 |
| 1144887449 | Suzanne Berndt | Counselor | 7530 E Angus Drive, Scottsdale, AZ 85251 | 2019-05-22 |
| 1699243071 | Surgical Neuromonitoring Solutions, LLC | Psychiatry & Neurology | 6926 North Hayden Road C4-461, Scottsdale, AZ 85251 | 2018-11-05 |
| 1295202828 | Neuromonitoring Surgical Services, LLC | Psychiatry & Neurology | 13370 North Hayden Road #133-269, Scottsdale, AZ 85251 | 2018-11-01 |
| 1275048316 | Valley of The Sun Institute for Pain Management, Pllc | Physical Medicine & Rehabilitation | 4900 N Scottsdale Rd, Scottsdale, AZ 85251 | 2017-12-12 |
| 1972022093 | Wound Management Solutions LLC | Surgery | 6900 E Camelback Road, Suite 900, Scottsdale, AZ 85251 | 2017-09-11 |
| 1043749872 | Bradley Holman Glenn | Family Medicine | 7301 E 2nd St., Ste. 210, Heuser Family Medicine Center, Scottsdale, AZ 85251 | 2017-06-06 |
| 1366988750 | Arika Cozzi | Specialist/Technologist | 8145 E Camelback Rd, Apt. #142, Scottsdale, AZ 85251 | 2017-01-10 |
| Find all providers in zip 85251 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720503758 | Russell John Crockett | Dentist | 5533 E Bell Rd Ste 120, Scottsdale, AZ 85254-1256 | 2017-08-10 |
| 1205074879 | Edward Kent Fritch | Dentist | 18650 N Thompson Peak Pkwy, Suite 2010, Scottsdale, AZ 85255-6190 | 2009-02-04 |
| 1801049010 | Fitzgerald Professional Corporation | Dentist | 7054 East Cochise Rd, B-230, Scottsdale, AZ 85253-4550 | 2008-10-31 |
| 1477709004 | Kevin Brian Cebrynski | Dentist | 9097 E Desert Cove Dr Ste 240, Scottsdale, AZ 85260-6277 | 2008-08-14 |
| 1043303001 | Shreedevi Thulasidas | Dentist | 34597 N 60th St Ste 101, Scottsdale, AZ 85266-5241 | 2006-10-02 |
| 1295846541 | Michael Lawrence Bleeker | Dentist | 9377 E Bell Rd Ste 379, Scottsdale, AZ 85260-1505 | 2006-08-31 |
| 1942271432 | Matthew Benjamin Kahn | Dentist | 8708 E San Marcos Dr, Scottsdale, AZ 85258-2616 | 2006-02-01 |
| 1538167234 | Michael J Gibbons | Dentist | 7477 E Doubletree Ranch Rd, Suite 200, Scottsdale, AZ 85258-2048 | 2005-07-07 |
| 1053318642 | Daniel Fernando Galindo | Dentist | 5533 E Bell Rd, Ste 120, Scottsdale, AZ 85254-1256 | 2005-06-28 |
| 1194247098 | Scottsdale Prosthodontists II, Pllc | Dentist | 11111 N Scottsdale Rd Ste 220, Scottsdale, AZ 85254-6732 | 2017-07-12 |
| Find all providers in SCOTTSDALE | ||||
| City | SCOTTSDALE |
| Zip Code | 85251 |
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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.