ONE HUNDRED DENTAL PLLC (NPI# 1811489941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811489941 |
| Entity Type | Organization |
| Organization Name | ONE HUNDRED DENTAL PLLC |
| Practice Address |
11000 N Scottsdale Rd Ste 290 Scottsdale AZ 85254 |
| Mailing Address |
11000 N Scottsdale Rd Ste 290 Scottsdale AZ 85254-5269 |
| Practice Telephone | 4804260135 |
| Practice Fax Number | 4806761626 |
| Mailing Telephone | 4804260135 |
| Mailing Fax Number | 4806761626 |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2018-06-07 |
| Authorized Official Name | DR. GERALD PAIK (MEMBER MANAGER) |
| Authorized Official Telephone | 4804260135 |
| 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 |
| Street Address |
11000 N SCOTTSDALE RD STE 290 |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891318416 | Dental Center of Scottsdale Pllc | Dentist | 6945 E. Sahuaro, Dr. Ste A-3, Scottsdale, AZ 85254 | 2020-05-19 |
| 1730651365 | Banner Urgent Care Services, LLC | Clinic/Center | 6501 East Greenway Parkway Building 3 Ste 104, Scottsdale, AZ 85254 | 2018-12-20 |
| 1801364872 | Lionrock Behavioral Health, Inc. | Community/Behavioral Health | 7047 E. Greenwood Parkway, Suite 250, Scottsdale, AZ 85254 | 2018-11-08 |
| 1497241079 | Saguaro Treatment Center | Pain Medicine | 5533 E. Bell Rd #111, Scottsdale, AZ 85254 | 2018-07-06 |
| 1104339316 | Victoria Lynne Amstutz | Family Medicine | 5546 E. Yucca Street, Scottsdale, AZ 85254 | 2017-11-09 |
| 1205345477 | Dentists of Scottsdale, LLP | Dentist | 16201 N Scottsdale Road, Ste 100, Scottsdale, AZ 85254 | 2017-09-20 |
| 1346779626 | Jillian Manng | Nurse Practitioner | 11000 N. Scottsdale Rd., #145, Scottsdale, AZ 85254 | 2017-06-08 |
| 1184163339 | Emily Tepouha Bashah | Psychologist | 13430 North Scottsdale Road, Suite #301a, Scottsdale, AZ 85254 | 2017-02-21 |
| 1427596741 | Tiffany Schonert | Contractor | 7127 E Sahuaro Dr Suite 105, Scpttsdale, AZ 85254 | 2017-02-07 |
| 1114476074 | Brandi Moore | Naturopath | 6424 E Greenway Pkwy Ste 100-647, Scottsdale, AZ 85254 | 2016-10-03 |
| Find all providers in zip 85254 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972138121 | Double Lazy H Pllc | Clinic/Center | 7904 E Chaparral Rd # A109, Scottsdale, AZ 85250-7210 | 2020-03-09 |
| 1427616143 | Studio B Smiles | Clinic/Center | 8952 E Desert Cove Ave Ste 108, Scottsdale, AZ 85260-6776 | 2019-05-29 |
| 1639636020 | Az Dentist | Clinic/Center | 10245 E Via Linda Ste 226, Scottsdale, AZ 85258-5345 | 2019-02-21 |
| 1497229744 | Daniel Gold Dds Pllc | Clinic/Center | 5900 N Granite Reef Rd Ste 101, Scottsdale, AZ 85250-6279 | 2019-01-18 |
| 1548733843 | Dr George Christakos Family Dentistry | Clinic/Center | 8573 E Princess Dr Ste 201, Scottsdale, AZ 85255-7822 | 2019-01-09 |
| 1417423971 | Randall J Johnson Dds Ms PC | Clinic/Center | 7600 E Camelback Rd Ste 4, Scottsdale, AZ 85251-2106 | 2018-10-22 |
| 1023598752 | Great Big Smiles Pllc | Clinic/Center | 7032 E Cochise Rd Ste 100, Scottsdale, AZ 85253-4565 | 2018-08-21 |
| 1134616378 | Scottsdale Implant and Cosmetic Dentistry LLC | Clinic/Center | 4910 E Greenway Rd Ste 7, Scottsdale, AZ 85254-1653 | 2018-04-13 |
| 1205351392 | Arcadia Pediatric Dentistry, LLC | Clinic/Center | 5717 E Thomas Rd Ste 110, Scottsdale, AZ 85251-7509 | 2017-08-09 |
| 1942650973 | Renuka P Kumar Dds | Clinic/Center | 9295 E Thunderbird Rd Ste 103, Scottsdale, AZ 85260-4376 | 2016-06-21 |
| Find all providers in SCOTTSDALE | ||||
| City | SCOTTSDALE |
| Zip Code | 85254 |
Please comment or provide details below to improve the information on ONE HUNDRED DENTAL PLLC.
| 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.