DR. JENNIFER L DERSE (NPI# 1063470268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063470268 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER L DERSE |
| Credential | DDS |
| Practice Address |
10630 N Scottsdale Rd Scottsdale AZ 85254 |
| Practice Telephone | 4809483680 |
| Practice Fax Number | 4809480711 |
| Mailing Telephone | 4809483680 |
| Mailing Fax Number | 4809480711 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
6701 | AZ | Dental Providers |
| Street Address |
10630 N SCOTTSDALE RD |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225096415 | Paul Dean Douglas | Dentist | 10630 N Scottsdale Rd, Scottsdale, AZ 85254 | 2006-05-04 |
| 1851726947 | Richard Jones Croft | Dentist | 10630 N Scottsdale Rd, Scottsdale, AZ 85254-5240 | 2013-09-07 |
| 1033554274 | Pegg Rohner | Dental Hygienist | 10630 N Scottsdale Rd, Scottsdale, AZ 85254-5240 | 2013-05-01 |
| 1346439270 | Paul D. Douglas, Dds, PC | Dentist | 10630 N Scottsdale Rd, Scottsdale, AZ 85254-5240 | 2007-10-16 |
| 1336197748 | Kathy Lynn Waters | Dentist | 10630 N Scottsdale Rd, Scottsdale, AZ 85254 | 2006-05-05 |
| 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 |
| 1811489941 | One Hundred Dental Pllc | Clinic/Center | 11000 N Scottsdale Rd Ste 290, Scottsdale, AZ 85254 | 2018-06-05 |
| 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 |
| Find all providers in zip 85254 | ||||
| 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 |
|---|---|---|---|---|
| 1184240624 | Mayya Ivanovna Ananyeva | Dentist | 6345 E Bell Rd Ste 1, Scottsdale, AZ 85254-6451 | 2020-06-21 |
| 1730705468 | Lindsay Ilana Gibson | Dentist | 12270 N 83rd St, Scottsdale, AZ 85260-5202 | 2020-06-18 |
| 1679197610 | Chadwick Kyle Brady | Dentist | 7000 E Shea Blvd Ste 1510, Scottsdale, AZ 85254-5233 | 2020-06-05 |
| 1639793631 | Leila Shahbazi | Dentist | 2959 N 68th Pl Unit 207, Scottsdale, AZ 85251-6873 | 2020-06-04 |
| 1720618333 | Brad The Dentist, Pllc | Dentist | 9304 E Raintree Dr Ste 100, Scottsdale, AZ 85260-7768 | 2020-01-23 |
| 1730740960 | Signature Sleep Solutions LLC | Dentist | 10855 N Frank Lloyd Wright Blvd Ste 105, Scottsdale, AZ 85259-4064 | 2019-06-27 |
| 1134607641 | Coombs Smile Studio, PC | Dentist | 8535 E Hartford Dr Ste 208, Scottsdale, AZ 85255-5444 | 2018-08-06 |
| 1417464637 | Harmony Dental Partners, LLC | Dentist | 6501 E Greenway Pkwy Ste 101, Scottsdale, AZ 85254-2066 | 2018-01-09 |
| 1235644048 | Harmony Dental Partners, LLC | Dentist | 21809 N. Scottsdale Rd., Suite C105, Scottsdale, AZ 85255 | 2017-12-04 |
| 1396266417 | Lianjie, LLC | Dentist | 9188 E San Salvador Dr Ste 105, Scottsdale, AZ 85258-5534 | 2017-06-28 |
| Find all providers in SCOTTSDALE | ||||
| City | SCOTTSDALE |
| Zip Code | 85254 |
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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.