EAST VALLEY DENTAL PROFESSIONALS (NPI# 1982059457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982059457 |
| Entity Type | Organization |
| Organization Name | EAST VALLEY DENTAL PROFESSIONALS |
| Practice Address |
2058 S Dobson Rd Suite 12 Mesa AZ 85202-6454 |
| Practice Telephone | 4808383033 |
| Practice Fax Number | 4808385738 |
| Mailing Telephone | 4808383033 |
| Mailing Fax Number | 4808385738 |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2016-05-03 |
| Authorized Official Name | JENNIFER BRINKMAN-AYERS (OFFICE MANAGER) |
| Authorized Official Telephone | 4808383033 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
2058 S DOBSON RD SUITE 12 |
| City | MESA |
| State | AZ |
| Zip Code | 85202-6454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346248184 | Manfred H Ahnen | Chiropractor | 2058 S Dobson Rd, Suite 16, Mesa, AZ 85202-6454 | 2005-07-13 |
| 1164775425 | Integrated Health Centers of Arizona Plc | Chiropractor | 2058 S Dobson Rd, Suite 16, Mesa, AZ 85202-6454 | 2012-10-23 |
| 1093061202 | Theresa M. Collins | Dentist | 2058 S Dobson Rd, Ste 12, Mesa, AZ 85202-6454 | 2012-07-25 |
| 1649402058 | Fynes Audiology LLC | Audiologist-Hearing Aid Fitter | 2058 S Dobson Rd, Suite 10, Mesa, AZ 85202-6454 | 2009-08-18 |
| 1649443672 | Gregory A Patchen Do PC | Family Medicine | 2058 S Dobson Rd, Suite 15, Mesa, AZ 85202-6454 | 2008-04-10 |
| 1306038013 | Filiberto Flores | Naturopath | 2058 S Dobson Rd, Suite 7, Mesa, AZ 85202-6454 | 2007-08-16 |
| 1649486960 | Michael Kaye | Dentist | 2058 S Dobson Rd, Suite 13, Mesa, AZ 85202-6454 | 2007-05-15 |
| 1568678670 | Gloria A Chen Kaye | Dentist | 2058 S Dobson Rd, Suite 13, Mesa, AZ 85202-6454 | 2007-05-15 |
| 1750301206 | Douglas R Buckley | Dentist | 2058 S Dobson Rd, Suite 3, Mesa, AZ 85202-6454 | 2006-07-20 |
| 1154360048 | Cassandra Marion Fynes | Audiologist-Hearing Aid Fitter | 2058 S Dobson Rd, Suite 10, Mesa, AZ 85202-6454 | 2006-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275173536 | Samuel A Wolde | Counselor | Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 | 2020-01-14 |
| 1912549171 | Lauren Barbara Loges | Occupational Therapist | 2225 E. Southern Avenue, Mesa, AZ 85202 | 2019-10-09 |
| 1245724822 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 | 2018-06-18 |
| 1457843310 | Jay Douglas Baumgardner | Physical Therapist | 1941 W. Guadalupe Rd. Suite 109, Mesa, AZ 85202 | 2018-06-05 |
| 1144746215 | Alyson Fix | Physician Assistant | 1432 S Dobson Rd Ste 304, Mesa, AZ 85202 | 2017-08-20 |
| 1194108852 | Robert Dale Labrum | Counselor | 1255 W Baseline Rd Ste B-258, Mesa, AZ 85202 | 2015-06-30 |
| 1114325677 | John David Shull Jr. | Physician Assistant | 1520 S Dobson Rd Ste 305, Mesa, AZ 85202 | 2014-12-16 |
| 1316356207 | Embry Womens Health LLC | Nurse Practitioner | 2204 S Dobson Road, Suite 203, Mesa, AZ 85202 | 2014-08-05 |
| 1619312899 | Fiza Naueed Khan | Internal Medicine | 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 | 2013-05-01 |
| 1487903373 | Jodi Lynn Mealer | Pharmacist | 1951 W. Baseline Rd., Mesa, AZ 85202 | 2012-09-06 |
| Find all providers in zip 85202 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475060 | Happy Molar Dental LLC | Dentist | 67 N Dobson Rd Ste A-104, Mesa, AZ 85201-6822 | 2020-10-18 |
| 1215553565 | Andrew Eugene Pak | Dentist | 10664 East Point Twenty-two Blvd, Mesa, AZ 85212 | 2020-06-23 |
| 1801438585 | Rauch Dental Associates LLC | Dentist | 2820 E University Dr Ste 108, Mesa, AZ 85213-8505 | 2019-10-14 |
| 1316591407 | George M Magnus | Dentist | 921 S Val Vista Dr Unit 98, Mesa, AZ 85204-5615 | 2019-07-28 |
| 1124672548 | R Keith Farr Dds LLC | Dentist | 4540 E Baseline Rd Ste 111, Mesa, AZ 85206-4616 | 2019-07-25 |
| 1578116679 | Arizona Dental Professionals, P.C. | Dentist | 10749 E Southern Ave, Mesa, AZ 85209-3885 | 2019-07-18 |
| 1629621982 | My Dentist Enterprises, Inc. | Dentist | 2045 S Vineyard Ste 153, Mesa, AZ 85210-6892 | 2019-07-16 |
| 1932761947 | Tyler John Bingham | Dentist | 2537 N Maple, Mesa, AZ 85215-1723 | 2019-07-01 |
| 1598228132 | Joe J Panelli | Dentist | 2824 N Power Rd Ste 108, Mesa, AZ 85215-1673 | 2019-04-10 |
| 1194291997 | Arizona Discount Dentistry Pllc | Dentist | 2500 S Power Rd Ste 127, Mesa, AZ 85209-6689 | 2018-10-18 |
| Find all providers in MESA | ||||
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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.