QUEEN CREEK PEDIATRIC DENTISTRY LLC (NPI# 1063618916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063618916 |
| Entity Type | Organization |
| Organization Name | QUEEN CREEK PEDIATRIC DENTISTRY LLC |
| Other Organization Name | A TO Z PEDIATRIC DENTISTRY |
| Practice Address |
7400 S Power Rd Bldg 6, Ste 132 Gilbert AZ 85297 |
| Practice Telephone | 4805033764 |
| Practice Fax Number | 4803800336 |
| Mailing Telephone | 4805033764 |
| Mailing Fax Number | 4803800336 |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JOEL R CLARK (DENTIST) |
| Authorized Official Telephone | 4805033764 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
5179 | AZ | Dental Providers |
| Other Name | Type Code |
|---|---|
| A to Z Pediatric Dentistry | Other Name - Individual/Organization |
| Street Address |
7400 S POWER RD BLDG 6, STE 132 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85297 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386634954 | Wendy Lorenzen | Pediatrics | 7400 S Power Rd, Suite 140, Gilbert, AZ 85297-9281 | 2005-10-25 |
| 1487026167 | Melinda Marie Lawrence | Nurse Practitioner | 7400 S Power Rd, Suite 140, Gilbert, AZ 85297-9281 | 2015-10-21 |
| 1396015558 | Richard W Andreasen Dc & Associates Plc | Chiropractor | 7400 S Power Rd, Suite 120, Gilbert, AZ 85297-9281 | 2012-01-05 |
| 1891089504 | Ironwood Counseling and Psychological Services | Psychologist | 7400 S Power Rd, Gilbert, AZ 85297-9281 | 2011-05-31 |
| 1902059223 | Jabez-blocher, Inc. | Podiatrist | 7400 S Power Rd, #120, Gilbert, AZ 85297-9281 | 2008-10-30 |
| 1972783025 | Jabez-blocher, Inc. | Podiatrist | 7400 S Power Rd, #120, Gilbert, AZ 85297-9281 | 2007-11-06 |
| 1093907891 | Dentistry At Power Ranch Inc | Dentist | 7400 S Power Rd, Ste 118, Gilbert, AZ 85297-9281 | 2007-08-15 |
| 1497973606 | Ryan C. Halls | Dentist | 7400 S Power Rd, Ste118, Gilbert, AZ 85297-9281 | 2007-04-23 |
| 1316160179 | Richard William Andreasen | Chiropractor | 7400 S Power Rd, Suite 120, Gilbert, AZ 85297 | 2007-04-10 |
| 1407923493 | David Stanley Sorenson | Physician Assistant | 7400 S Power Rd, Suite 120, Gilbert, AZ 85297 | 2006-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710592357 | Center for Orthopedic Research and Education LLC | Durable Medical Equipment & Medical Supplies | 3597 South Mercy Rd, Ste 200, Gilbert, AZ 85297 | 2020-09-10 |
| 1508483827 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3271 East Queen Creek, Bldg 2, Suite 101-p, Gilbert, AZ 85297 | 2020-07-02 |
| 1225653074 | Sigma Health and Wellness LLC | Nurse Practitioner | 3317 S. Higley Road, Ste 114-757, Gilbert, AZ 85297 | 2020-06-08 |
| 1750928727 | Emily Paige Stott | Specialist/Technologist | 4141 E Sidewinder Ct, Gilbert, AZ 85297 | 2019-12-09 |
| 1386280436 | Ocotillo Surgery Center LLC | Clinic/Center | 3920 S Rome Street, Gilbert, AZ 85297 | 2019-11-25 |
| 1366094930 | Psa Behavioral Health Agency | Community/Behavioral Health | 3271 E. Queen Creek Road, Ste. 105, 110, 111, Gilbert, AZ 85297 | 2019-07-12 |
| 1508337213 | Orthopedic Specialists of North America Pllc | Physical Therapist | 1675 E Melrose Street, Suites 101-103, Gilbert, AZ 85297 | 2018-12-07 |
| 1346766698 | Charles Stanley Bailey | Optometrist | 3098 E. Waterman Way, Gilbert, AZ 85297 | 2017-08-18 |
| 1982155503 | Sheli K Jensen | Marriage & Family Therapist | 7400 S. Power Road, Suite 116, Gilbert, AZ 85297 | 2016-10-19 |
| 1407302763 | Kelly Jo Plencner-vega | Advanced Practice Midwife | 3815 S Val Vista Dr, Gilbert, Az, Gilbert, AZ 85297 | 2016-08-28 |
| Find all providers in zip 85297 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497396170 | Gilbert Kidtastic Dental LLC | Dentist | 3303 E Queen Creek Rd Ste 106, Gilbert, AZ 85297-8532 | 2019-10-03 |
| 1386207785 | Cattron's Dmd, Pllc | Dentist | 4024 E Guadalupe Rd Ste 105, Gilbert, AZ 85234-7672 | 2019-04-21 |
| 1487158473 | Jared Benjamin Tinker | Dentist | 3592 S Atherton Blvd Ste 107, Gilbert, AZ 85297-7444 | 2018-03-22 |
| 1184167447 | John E. Culp, IIi Dmd, PC | Dentist | 2080 E Williams Field Rd, Suite #104, Gilbert, AZ 85295-0702 | 2016-11-18 |
| 1871950071 | Joseph Creech | Dentist | 2550 E Guadalupe Rd Ste 101, Gilbert, AZ 85234-5114 | 2016-01-20 |
| 1073895629 | Kidiatric Dentistry, Pllc | Dentist | 913 E Warner Rd, Gilbert, AZ 85296-3078 | 2011-09-09 |
| 1861663635 | Gavin Cotant Christensen | Dentist | 3303 E Queen Creek Rd, Suite 106, Gilbert, AZ 85297-8532 | 2008-03-19 |
| 1285753574 | Timothy J Bashara | Dentist | 5656 S. Power Rd., Ste. 118, Gilbert, AZ 85295 | 2007-03-28 |
| 1780749333 | Abc Dentistry for Children | Dentist | 2363 E Baseline Rd, Gilbert, AZ 85234-2357 | 2006-12-26 |
| 1053488650 | Jared Weston Welch | Dentist | 3011 S Lindsay Rd Ste 108, Gilbert, AZ 85296-0702 | 2006-11-29 |
| Find all providers in GILBERT | ||||
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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.