PM DENTAL (NPI# 1760958359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760958359 |
| Entity Type | Organization |
| Organization Name | PM DENTAL |
| Practice Address |
20800 N John Wayne Pkwy Ste 105 Maricopa AZ 85139-2728 |
| Practice Telephone | 5205687880 |
| Practice Fax Number | 5208686794 |
| Mailing Telephone | 5205687880 |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2018-10-22 |
| Authorized Official Name | PETER MANESH (OWNER) |
| Authorized Official Telephone | 5205687880 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | PM DENTAL SERVICE LLC | 44 E Troy, Indianapolis, IN 46225 |
| New York State Corporations | PM DENTAL SERVICES, P.C. | 235-20 147th Ave., Suite #3, Rosedale, New York 11422 |
| Washington State Corporations | PM DENTAL, LLC | 730 E 1750 N, North Ogden, UT 84414 |
| Street Address |
20800 N JOHN WAYNE PKWY STE 105 |
| City | MARICOPA |
| State | AZ |
| Zip Code | 85139-2728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538778899 | Star House Bhrf LLC | Clinic/Center | 44796 W Sandhill Road, Maricopa, AZ 85139 | 2020-07-23 |
| 1578020988 | Dentistry At Maricopa, LLC | Dentist | 20046 N. John Wayne Pkwy, Ste 105, Maricopa, AZ 85139 | 2019-02-22 |
| 1043732431 | The Hands of Grace | Case Management | 44570 W Sedona Trl, Maricopa, AZ 85139 | 2017-07-07 |
| 1215466636 | Dustin Jeremy Sowards | Naturopath | 18495 N Miller Way, Maricopa, AZ 85139 | 2017-06-08 |
| 1871029090 | Carolyn Wanyama | Nursing Home Administrator | 44880 W Portabello Road, Maricopa, AZ 85139 | 2017-05-08 |
| 1740638758 | Melissa Marie Trulson | Dentist | 44481 W Honeycutt Rd, Suite 109, Maricopa, AZ 85139 | 2016-05-31 |
| 1093189805 | Community Partners Integrated Healthcare, Inc. | Clinic/Center | 20046 N John Wayne Parkway, Ste 102, Maricopa, AZ 85139 | 2015-11-17 |
| 1134523079 | Shadale Gillespie | Technician | 45565 W. Rainbow Dr., Maricopa, AZ 85139 | 2014-10-21 |
| 1578964516 | Community Partners Integrated Healthcare, Inc. | Clinic/Center | 20046 N. John Wayne Parkway, Ste. 106-a, Maricopa, AZ 85139 | 2014-09-09 |
| 1104238716 | Jared Kenney | Dentist | 21300 N John Wayne Pkwy Ste 114, Maricopa, AZ 85139 | 2014-05-30 |
| Find all providers in zip 85139 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922575018 | Maricopa Smiles, LLC | Clinic/Center | 20917 N John Wayne Pkwy Ste A105, Maricopa, AZ 85139-2918 | 2018-10-27 |
| 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 | ||||
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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.