DENTAL DEPOT OF SURPRISE, PLLC (NPI# 1912538497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912538497 |
| Entity Type | Organization |
| Organization Name | DENTAL DEPOT OF SURPRISE, PLLC |
| Practice Address |
13828 W. Greenway Rd. Surprise AZ 85374 |
| Practice Telephone | 6235629123 |
| Practice Fax Number | 6232590153 |
| Mailing Telephone | 6235629123 |
| Mailing Fax Number | 6232590153 |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2020-05-19 |
| Authorized Official Name | GAYLON ZISSA (PROFESSIONAL RELATIONS MANAGER) |
| Authorized Official Telephone | 4059458941 |
| 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 |
13828 W. GREENWAY RD. |
| City | SURPRISE |
| State | AZ |
| Zip Code | 85374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225648801 | Jennilyn Joy Puhawan Cave | Emergency Medicine | 14440 W Tierra Buena Ln, Surprise, AZ 85374 | 2020-08-07 |
| 1447898622 | Vhs of Arrowhead, Inc. | General Acute Care Hospital | 16815 W. Bell Rd, Surprise, AZ 85374 | 2019-12-18 |
| 1073155834 | Regency Ambulatory Surgery Center One, LLC | Clinic/Center | 14753 W Mountain View Blvd, Surprise, AZ 85374 | 2019-10-14 |
| 1164064929 | Advanced Ambulatory Surgery Center One, LLC | Clinic/Center | 14753 W. Mountain View Blvd., Surprise, AZ 85374 | 2019-10-14 |
| 1275005308 | Filsan Ali | Nurse Practitioner | 14780 W Mountain View Blvd #109, Surprise, Az 85374, Surprise, AZ 85374 | 2018-12-31 |
| 1427528686 | Anna L Bell | Nurse Practitioner | 14811 W Bell Rd Ste 100, Surprise, AZ 85374 | 2018-11-30 |
| 1649755893 | Surprise Behavioral Hospital Lp | Psychiatric Hospital | 16561 North Parkview Place, Surprise, AZ 85374 | 2018-10-03 |
| 1336621259 | Chaparral Winds LLC | Assisted Living Facility | 16623 N West Point Parkway, Surprise, AZ 85374 | 2018-09-06 |
| 1104310648 | Austin Daniel Lau | Dentist | 17018 W Bell Rd, Surprise, AZ 85374 | 2018-06-19 |
| 1679078844 | Arizona Dental Professionals, P.C. | Dentist | 16581 W Bell Rd Ste 108, Surprise, AZ 85374 | 2018-03-28 |
| Find all providers in zip 85374 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649888629 | Whitney A Sebree, Dmd Pllc | Clinic/Center | 15331 W Bell Rd Ste 204, Surprise, AZ 85374-4104 | 2020-07-16 |
| 1447728654 | Steele Dental Group | Clinic/Center | 15409 W Greenway Rd Ste 100, Surprise, AZ 85374-4368 | 2018-11-06 |
| 1922594522 | Ebw Dmd Pllc | Clinic/Center | 14800 W Mountain View Blvd Ste 200, Surprise, AZ 85374-2703 | 2018-07-06 |
| 1770005233 | Surprise Implants & Family Dentistry | Clinic/Center | 14967 W Bell Rd, Ste 100, Surprise, AZ 85374 | 2017-07-16 |
| 1861879066 | Adelante Healthcare Inc | Clinic/Center | 15317 W Bell Rd Ste 108, Surprise, AZ 85374-3901 | 2015-04-27 |
| 1427656503 | Wynn Dental Corporation | Clinic/Center | 16581 W Bell Rd Ste 108, Surprise, AZ 85374-0004 | 2020-10-12 |
| 1114462330 | Surprise Pediatric Dentistry, PC | Clinic/Center | 15331 W Bell Rd, Suite #112, Surprise, AZ 85374-4102 | 2016-12-23 |
| 1366848897 | Canyon Modern Dentistry & Orthodontics | Clinic/Center | 17081 W Greenway Rd, Suite 120, Surprise, AZ 85388-9612 | 2014-11-11 |
| 1033520671 | Sk Dental LLC | Clinic/Center | 15288 W Brookside Ln, Building D Suite 131, Surprise, AZ 85374-3990 | 2014-05-16 |
| 1437394731 | Southwestern Smile Design, LLC | Clinic/Center | 18775 N Reems Rd, C-300, Surprise, AZ 85374-8647 | 2008-12-16 |
| Find all providers in SURPRISE | ||||
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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.