DESERT VALLEY ORAL SURGERY (NPI# 1881189199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881189199 |
| Entity Type | Organization |
| Organization Name | DESERT VALLEY ORAL SURGERY |
| Practice Address |
2915 E. Baseline Road Suite 106 Gilbert AZ 85234 |
| Practice Telephone | 4805396420 |
| Practice Fax Number | 4806636370 |
| Mailing Telephone | 4805396420 |
| Mailing Fax Number | 4806636370 |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2018-06-28 |
| Authorized Official Name | DR. DONOVAN R. HANSEN (OWNER) |
| Authorized Official Telephone | 4805396420 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgery | D08601 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
2915 E. BASELINE ROAD SUITE 106 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500962 | Fatima Health LLC | Nurse Practitioner | 760 North Swallow Lane, Gilbert, AZ 85234 | 2020-05-22 |
| 1073152070 | American Care Concepts Hospice LLC | Hospice Care, Community Based | 765 N. Lindsay Rd., Ste. 208, Gilbert, AZ 85234 | 2019-12-23 |
| 1457918864 | Intuitive Healing Counseling Services, Pllc | Counselor | 3303 E Baseline Rd, Building 5, Suite 109, Gilbert, AZ 85234 | 2019-05-21 |
| 1487123907 | San Tan Behavioral Health Services LLC | Respite Care | 2671 East Vermont Court, Gilbert, AZ 85234 | 2018-11-14 |
| 1770052292 | San Tan Behavioral Health Services | Respite Care | 3970 East Juanita Avenue, Gilbert, AZ 85234 | 2018-11-14 |
| 1891262887 | Victoria Elizabeth Klennertt | Behavior Technician | 3503 E Michelle Way, Gilbert, AZ 85234 | 2018-10-27 |
| 1225503634 | Julia Elizabeth Wiens | Social Worker | 3651 E Baseline Rd Ste 120, Gilbert, AZ 85234 | 2018-10-11 |
| 1295219798 | Raylene Dawn Cargiulo | Registered Nurse | 55 S. Greenfield Rd., Gilbert, AZ 85234 | 2018-09-20 |
| 1346729092 | Katherine M Winegar | Nurse Practitioner | Banner Md Anderson Cancer Center- Administration Office, 2940 E Banner Gateway Drive, Gilbert, AZ 85234 | 2018-08-13 |
| 1760972947 | Arizona's Children Association | Clinic/Center | 1420 N Greenfield Rd Ste 100&101, Gilbert, AZ 85234 | 2018-05-14 |
| Find all providers in zip 85234 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629546171 | San Tan Valley Oral Facial and Implant Surgery Pllc | Oral & Maxillofacial Surgery | 36327 N Gantzel Rd, Suite 102, San Tan Valley, AZ 85140 | 2018-11-02 |
| 1982873311 | Arizona Oral Facial and Implant Surgery LLC | Oral & Maxillofacial Surgery | 2450 W Ray Rd Ste 1, Chandler, AZ 85224-3595 | 2008-02-29 |
| 1538358189 | Mark D. Pogue, M.d. D.d.s., P.C. | Oral & Maxillofacial Surgery | 8535 E Hartford Dr Ste 100, Scottsdale, AZ 85255-5443 | 2007-10-19 |
| 1114125267 | Associates In Oral and Maxillofacial Surgery Pllc | Oral & Maxillofacial Surgery | 3150 N Swan, Tucson, AZ 85712 | 2007-07-10 |
| 1861528465 | Sabah Kalamchi | Oral & Maxillofacial Surgery | 8112 N 87th Pl, Scottsdale, AZ 85258-4335 | 2007-02-26 |
| 1710025044 | Angelle M Casagrande | Oral & Maxillofacial Surgery | 3150 N Swan Road, Tucson, AZ 85712 | 2007-02-01 |
| 1619026564 | Woodlands Oral & Maxillofacial Surgery PC | Oral & Maxillofacial Surgery | 1635 S Plaza Way, Flagstaff, AZ 86001-7102 | 2007-01-09 |
| 1114940335 | Nish S Shah | Oral & Maxillofacial Surgery | 2450 W Ray Rd, Ste 1, Chandler, AZ 85224 | 2006-07-26 |
| 1255327169 | Mark Pogue | Oral & Maxillofacial Surgery | 8535 E Hartford Dr, Scottsdale, AZ 85255-5438 | 2005-09-26 |
| 1235134503 | Daniel James Klemmedson | Oral & Maxillofacial Surgery | 3150 N Swan Rd, Tucson, AZ 85712-1227 | 2005-06-14 |
| 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.