LAKE PLEASANT DENTISTRY PC (NPI# 1093172561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093172561 |
| Entity Type | Organization |
| Organization Name | LAKE PLEASANT DENTISTRY PC |
| Practice Address |
9059 W Lake Pleasant Pkwy Ste F 600 Peoria AZ 85382-8336 |
| Practice Telephone | 6238255595 |
| Practice Fax Number | 6238255129 |
| Mailing Telephone | 6238255595 |
| Mailing Fax Number | 6238255129 |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2016-01-28 |
| Authorized Official Name | SHARON BADER (OWNER) |
| Authorized Official Telephone | 6238255595 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D5241 | AZ | Dental Providers |
| Street Address |
9059 W LAKE PLEASANT PKWY STE F 600 |
| City | PEORIA |
| State | AZ |
| Zip Code | 85382-8336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093701286 | Sandhya Ravi | Pediatrics | 9059 W Lake Pleasant Pkwy, Ste E 540, Peoria, AZ 85382-8336 | 2005-09-22 |
| 1972154771 | Taylor Narducci | Pediatrics | 9059 W Lake Pleasant Pkwy, Peoria, AZ 85382-8336 | 2019-09-23 |
| 1144762626 | Holly Trygar | Physician Assistant | 9059 W Lake Pleasant Pkwy, Suite E540, Peoria, AZ 85382-8336 | 2016-11-15 |
| 1275083024 | Trisha Amin | Physician Assistant | 9059 W Lake Pleasant Pkwy, Suite E540, Peoria, AZ 85382-8336 | 2016-10-05 |
| 1720430960 | Melissa Flesch | Physician Assistant | 9059 W Lake Pleasant Pkwy, Suite E540, Peoria, AZ 85382-8336 | 2016-07-12 |
| 1225412737 | Veronica Leticia Elstro | Nurse Practitioner | 9059 W Lake Pleasant Pkwy, #c320, Peoria, AZ 85382-8336 | 2015-07-14 |
| 1588068472 | Elizabeth Tolman | Physician Assistant | 9059 W Lake Pleasant Pkwy, Suite E540, Peoria, AZ 85382-8336 | 2014-10-21 |
| 1104230697 | Natassia Lynn Williamson | Nurse Practitioner | 9059 W Lake Pleasant Pkwy, Suite C-320, Peoria, AZ 85382-8336 | 2014-06-12 |
| 1700134806 | Elizabeth Rattle | Physician Assistant | 9059 W Lake Pleasant Pkwy, Ste E 540, Peoria, AZ 85382-8336 | 2012-08-21 |
| 1710126917 | Michaela Kniesova | Pediatrics | 9059 W Lake Pleasant Pkwy, #e-540, Peoria, AZ 85382-8336 | 2009-02-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205435146 | Arizona Ot Solutions LLC | Occupational Therapist | 7450 W. Karen Lee Lane, Peoria, AZ 85382 | 2020-10-21 |
| 1497380604 | Idream Psychiatry | Psychiatry & Neurology | 8194 West Deer Valley Rd, 106-516, Peoria, AZ 85382 | 2020-03-08 |
| 1770137648 | Stefan Cseh | Occupational Therapy Assistant | 8765 W Keiton Lane #116, Peona, AZ 85382 | 2019-07-30 |
| 1174177422 | Assyrian Cultural Foundation of Arizona | Homemaker | 9163 West Union Hills Drive, Suite 114 and 115, Peoria, AZ 85382 | 2019-07-25 |
| 1073072765 | Darby Shipman | Physical Therapist | 8685 W. Union Hills Drive, Peoria, AZ 85382 | 2019-03-13 |
| 1811483480 | Kimberly Ann Cochran | Nurse Practitioner | 8194 W Deer Valley Rd Ste 106-516, Peoria, AZ 85382 | 2018-07-07 |
| 1831693514 | Summa Health Care, PC | Family Medicine | 8877 W Union Hills Dr Ste 240, Peoria, AZ 85382 | 2018-03-19 |
| 1497258727 | Nkemdirim Obiora | Nurse Practitioner | 7853 West Lone Cactus Drive, Peoria, AZ 85382 | 2018-03-13 |
| 1851893721 | Alyssa Michelle Bauman | Registered Nurse | 20283 N Lake Pleasant Rd Ste 112, Peoria, AZ 85382 | 2018-03-06 |
| 1043767106 | Jason Mcaddley | Pharmacist | 9425 West Union Hills Drive, Peoria, AZ 85382 | 2016-09-07 |
| Find all providers in zip 85382 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386258689 | Joshua Dutton | Dentist | 8325 W Happy Valley Rd Unit 100, Peoria, AZ 85383-4361 | 2020-09-03 |
| 1750908992 | Asfia Kauser | Dentist | 4325 W Castleton Rd, Peoria, IL 61615-2821 | 2020-07-04 |
| 1528694247 | Lake Pleasant Kids Dentists and Orthodontics, LLP | Dentist | 24775 North Lake Pleasant Parkway Suite 104, Peoria, AZ 85383 | 2020-03-13 |
| 1114588217 | Kong Xing Wang | Dentist | 320 East Armstrong Ave, Peoria, IL 61603 | 2019-06-28 |
| 1669958781 | Plaza Family Dental Inc | Dentist | 9145 W Thunderbird Rd Ste H105, Peoria, AZ 85381-4820 | 2018-07-11 |
| 1578058293 | Bhumikaben Patel | Dentist | 5400 W Sienna Ln Apt 2202, Peoria, IL 61615-7857 | 2018-06-25 |
| 1265926729 | Vogue Dental Peoria LLC | Dentist | 3510 N University St Ste A, Peoria, IL 61604-1346 | 2018-06-19 |
| 1841784493 | Jeffrey Jay Chen | Dentist | 9016 N Allen Rd Ste B, Peoria, IL 61615-1560 | 2018-06-18 |
| 1013422138 | Joseph Nicholas Taylor | Dentist | 7310 N Villa Lake Dr Ste B, Peoria, IL 61614-8268 | 2017-12-12 |
| 1457881351 | Jaclyn Macdonald | Dentist | 2214 N University St, Peoria, IL 61604-3221 | 2017-06-14 |
| Find all providers in PEORIA | ||||
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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.