DYNAMIC DENTAL HEALTH ASSOCIATES OF ARIZONA (NPI# 1104257187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104257187 |
| Entity Type | Organization |
| Organization Name | DYNAMIC DENTAL HEALTH ASSOCIATES OF ARIZONA |
| Other Organization Name | MERRILL RANCH FAMILY DENTAL |
| Practice Address |
3385 N Hunt Hwy Ste 127 Florence AZ 85132-6922 |
| Mailing Address |
9400 4th St N Ste 200 St Petersburg FL 33702-2501 |
| Practice Telephone | 5207230655 |
| Practice Fax Number | 5207230691 |
| Mailing Telephone | 7278008026 |
| Mailing Fax Number | 7273396543 |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2020-07-09 |
| Authorized Official Name | NANCY SCHIAPARELLI (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 7278008026 |
| Is Organization Subpart | Y |
| Parent Organization Name | DYNAMIC DENTAL HEALTH ASSOCIATES OF ARIZONA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Merrill Ranch Family Dental | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750712741 | Dynamic Dental Health Associates of Arizona | Dentist | 1909 N Power Rd Ste 103, Mesa, AZ 85205-9510 | 2013-12-02 |
| 1376974352 | Dynamic Dental Health Associates of Arizona | Dentist | 5030 W Baseline Rd Ste 131, Laveen, AZ 85339-7331 | 2013-12-02 |
| 1922439967 | Dynamic Dental Health Associates of Arizona | Dentist | 2919 E. Ellsworth Rd. Ste 118, Mesa, AZ 85212 | 2013-12-02 |
| 1730519505 | Dynamic Dental Health Associates of Arizona | Dentist | 3930 S Alma School Rd, St.6, Chandler, AZ 85248-4510 | 2013-11-15 |
| 1811326226 | Dynamic Dental Health Associates of Arizona | Dentist | 3961 E Chandler Blvd, Ste. 104, Phoenix, AZ 85048-0303 | 2013-11-06 |
| Street Address |
3385 N HUNT HWY STE 127 |
| City | FLORENCE |
| State | AZ |
| Zip Code | 85132-6922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598071961 | Lawrence George Groop | Dentist | 3385 N Hunt Hwy Ste 127, Florence, AZ 85132-6922 | 2010-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457905648 | Katherine Gastelum | Specialist/Technologist | 2700 North Anthem Way, Florence, AZ 85132 | 2019-07-26 |
| 1003309238 | Horizon Health and Wellness, Inc. | Clinic/Center | 450 W Adamsville Rd Ste B, Florence, AZ 85132 | 2018-06-12 |
| 1821594136 | Jeremiah David Johnson | Internal Medicine | 971 N. Jason Lopez Circle Bldg B, Florence, AZ 85132 | 2018-04-04 |
| 1174022990 | Nicholas Ryan Bibeau | Physical Therapist | 4374 East Butte Avenue, Florence, AZ 85132 | 2018-02-07 |
| 1598289464 | Cyrus Faramroze Austin | Dentist | 1100 Bowling Rd., Florence, AZ 85132 | 2017-08-01 |
| 1477082642 | Horizon Health and Wellness, Inc. | Clinic/Center | 450 W Adamsville Rd Ste A, Florence, AZ 85132 | 2017-06-09 |
| 1083150205 | Sanna Neff | Nurse Practitioner | 495 N Pinal Pkwy Ste 106, Florence, AZ 85132 | 2017-01-11 |
| 1114322807 | Affinity Physical Therapy, LLC | Physical Therapist | 350 S Main Street, Florence, AZ 85132 | 2014-10-24 |
| 1083018923 | Ryan William Taylor | Nurse Practitioner | 1155 N. Pinal Parkway, Central Az Detention Center, Florence, AZ 85132 | 2014-10-21 |
| 1881012755 | Carlos Lavor Weekly | Dentist | 1305 East Butte, Florence, AZ 85132 | 2014-03-28 |
| Find all providers in zip 85132 | ||||
| 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 |
|---|---|---|---|---|
| 1336759802 | Dharaben Gajjar | Dentist | 718 Muirfield Pl, Florence, SC 29501-8718 | 2020-08-08 |
| 1720698566 | Travis Alcorn | Dentist | 2750 Kingwood St, Florence, OR 97439-9556 | 2020-08-06 |
| 1144875444 | Steven Mee | Dentist | 1225 Us - 101, Florence, OR 97439 | 2019-08-05 |
| 1902468283 | Austin Larkin Smith | Dentist | 7901 Mall Rd Ste 500, Florence, KY 41042-3419 | 2019-07-08 |
| 1750819397 | Allyson Paige Engle | Dentist | 7668 Mall Rd Unit B, Florence, KY 41042-1593 | 2017-05-26 |
| 1104225325 | Irby Street Dental Health Center, P.C. | Dentist | 943 S Irby St Unit A, Florence, SC 29501-5238 | 2014-08-14 |
| 1881012755 | Carlos Lavor Weekly | Dentist | 1305 East Butte, Florence, AZ 85132 | 2014-03-28 |
| 1972842805 | Saishree Amin | Dentist | 310 Cox Creek Pkwy, Florence, AL 35630-1540 | 2013-02-13 |
| 1588929848 | Patricia Jordan Fast | Dentist | 1507 Heritage Ln, Suite A, Florence, SC 29505-3141 | 2012-07-11 |
| 1053678516 | Florence Dental Clinic | Dentist | 2750 Kingwood, Florence, OR 97430 | 2012-04-20 |
| Find all providers in FLORENCE | ||||
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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.