ARIZONA DENTAL PAVILLION (NPI# 1750590824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750590824 |
Entity Type | Organization |
Organization Name | ARIZONA DENTAL PAVILLION |
Other Organization Name | EMPIRE DENTAL |
Practice Address |
1677 E Florence Blvd # 24 Casa Grande AZ 85222 |
Practice Telephone | 5208365466 |
Practice Fax Number | 5208367469 |
Mailing Telephone | 5208365466 |
Mailing Fax Number | 5208367469 |
Enumeration Date | 2007-05-22 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MRS. ELLEN C MARTINEZ (OFFICE MANAGER) |
Authorized Official Telephone | 5208365466 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
AZ | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Empire Dental | Doing Business As Name - Organization |
Street Address |
1677 E FLORENCE BLVD # 24 |
City | CASA GRANDE |
State | AZ |
Zip Code | 85222 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013137827 | Namninder S Grn | Dentist | 1677 E Florence Blvd, #24, Casa Grande, AZ 85222 | 2007-04-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699184093 | Hemali Paton | Pharmacist | 1741 E. Florence Blvd., Casa Grande, AZ 85222 | 2014-08-11 |
1023249893 | Krista Marie Nielsen | Nurse Practitioner | 1676 E. Mcmurray Blvd, Cgrmc Urgent Care, Casa Grande, AZ 85222 | 2009-07-28 |
1639333479 | Villago Marketplace Dental Care PC | Dentist | 2876 N Pinal Ave, Suite 4, Casa Grande, AZ 85222 | 2008-07-10 |
1487811790 | Ashley Vander Weel | Dietitian, Registered | 351 N Peart Rd, Apt 325, Casa Grande, AZ 85222 | 2008-05-22 |
1205022787 | Linda C Cassidy | Registered Nurse | 2730 North Trekell Road, Casa Grande Union High School, Casa Grande, AZ 85222 | 2007-09-19 |
1104021476 | Jeremy Wade Cull | Dentist | 1876 E Sabin Drive Suite #18, Casa Grande, AZ 85222 | 2007-06-18 |
1841404852 | New Horizon Youth Homes, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 467 East Dragon Springs Dr, Casa Grande, AZ 85222 | 2007-05-09 |
1528189529 | Jewell Lavoo | Registered Nurse | 129 N Arizola Rd, Casa Grande, AZ 85222 | 2007-04-03 |
1922148089 | Martha Dawn Jones-baer | Registered Nurse | 1220 E. Kortsen Dr, Cactus Middle School, Casa Grande, AZ 85222 | 2007-02-07 |
1225175847 | Scott Paul Gunnell | Dentist | 1550 E Florence Blvd, 4, Casa Grande, AZ 85222 | 2007-01-31 |
Find all providers in zip 85222 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386021830 | Ehrbright and Hankel Dds, Pllc | Clinic/Center | 1895 N. Trekell Rd, Suite 1, Casa Grande, AZ 85122 | 2015-05-05 |
1851569693 | Casa Grande Oral and Maxillofacial Surgery, P.C. | Clinic/Center | 1876 E Sabin Dr Ste 6, Casa Grande, AZ 85122-6197 | 2008-02-14 |
1235188574 | D Michael Dick, P.C. | Clinic/Center | 721 N Olive Ave, Casa Grande, AZ 85222-4034 | 2006-05-06 |
1558995951 | Pediatric Dentistry of Casa Grande | Clinic/Center | 695 E Cottonwood Ln, Casa Grande, AZ 85122-2023 | 2020-02-25 |
1992166359 | Sun Life Family Health Center, Inc. | Clinic/Center | 1864 E Florence Blvd, Suite1, Casa Grande, AZ 85122-5457 | 2016-03-14 |
1720156995 | Robert F Hankel Jr Dds Ltd | Clinic/Center | 1895 N Trekell Rd, Suite #1, Casa Grande, AZ 85122-1774 | 2006-12-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568063329 | Trombetta Dental Solutions | Clinic/Center | 13808 N Sandario Rd Ste 100, Marana, AZ 85653-8940 | 2020-11-06 |
1629676903 | Dental and Braces Dysart LLC | Clinic/Center | 1450 N Dysart Rd Ste A7, Avondale, AZ 85323-1534 | 2020-10-09 |
1255946257 | Tatum Point Dentistry LLC | Clinic/Center | 4747 E Bell Rd Ste 15, Phoenix, AZ 85032-2301 | 2020-09-15 |
1003421009 | Solterra Dentistry LLC | Clinic/Center | 15255 N 40th St Ste 111, Phoenix, AZ 85032-4636 | 2020-09-15 |
1699389510 | Ocotillo Dental Associates LLC | Clinic/Center | 11259 S Frontage Rd Ste 103, Yuma, AZ 85367-7883 | 2020-09-08 |
1144832940 | Kingman Dental Professionals, LLC | Clinic/Center | 3775 N Stockton Hill Rd, Kingman, AZ 86409-3219 | 2020-08-21 |
1336751536 | Smile Nuvo | Clinic/Center | 2142 W Red Fox Rd, Phoenix, AZ 85085-5458 | 2020-08-19 |
1396354205 | Freedom Dental, Pllc | Clinic/Center | 6328 E Brown Rd Ste 105, Mesa, AZ 85205-4841 | 2020-07-27 |
1649888629 | Whitney A Sebree, Dmd Pllc | Clinic/Center | 15331 W Bell Rd Ste 204, Surprise, AZ 85374-4104 | 2020-07-16 |
1912520347 | Dr. Reese Turner, Dds, PC | Clinic/Center | 9059 W Lake Pleasant Pkwy Ste A100, Peoria, AZ 85382-8393 | 2020-05-20 |
Find all providers with the same taxonomy |
City | CASA GRANDE |
Zip Code | 85222 |
Please comment or provide details below to improve the information on ARIZONA DENTAL PAVILLION.
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.