BRENT TAYLOR PACKER (NPI# 1104931633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104931633 |
| Entity Type | Individual |
| Full Name | BRENT TAYLOR PACKER |
| Credential | DMD |
| Practice Address |
1400 N Gilbert Rd Suite A Gilbert AZ 85234-2328 |
| Practice Telephone | 4808925089 |
| Practice Fax Number | 4808924236 |
| Mailing Telephone | 4808925089 |
| Mailing Fax Number | 4808924236 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
1915 | AZ | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255677076 | Brent Stanley Packer | Social Worker | 1190 York Dr, Blackfoot, ID 83221-3621 | 2012-12-26 |
| 1902959018 | Brent Packer | General Practice | 4220 Ingleside Dr Se, Lacey, WA 98503-2108 | 2007-01-19 |
| Street Address |
1400 N GILBERT RD SUITE A |
| City | GILBERT |
| State | AZ |
| Zip Code | 85234-2328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376548198 | Clifford Brendon Gibb | Chiropractor | 1400 N Gilbert Rd, Ste M, Gilbert, AZ 85234-2482 | 2005-06-17 |
| 1891339834 | Solutions By Choice Health Service Corporation | Clinic/Center | 1400 N Gilbert Rd, Gilbert, AZ 85234-2328 | 2019-11-02 |
| 1902250368 | Arizona Smiles, P.C. | Dentist | 1400 N Gilbert Rd, Suite Z, Gilbert, AZ 85234-2328 | 2016-04-21 |
| 1760858740 | Robin Liberman | Community/Behavioral Health | 1400 N Gilbert Rd, Suite F, Gilbert, AZ 85234-2328 | 2015-08-13 |
| 1679977243 | Oral Sleep Medicine of Arizona LLC | Dentist | 1400 N Gilbert Rd, Ste J, Gilbert, AZ 85234-2328 | 2014-10-10 |
| 1952644478 | Nca Holdings of Arizona LLC | Neuromusculoskeletal Medicine & OMM | 1400 N Gilbert Rd, Suite I, Gilbert, AZ 85234-2328 | 2013-04-03 |
| 1073802542 | Springbok Wellness and Rehab L.L.C. | Physical Therapist | 1400 N Gilbert Rd, Suite M, Gilbert, AZ 85234-2328 | 2011-04-05 |
| 1659515484 | Eye Care Clinic P.C. | Optometrist | 1400 N Gilbert Rd, Ste I, Gilbert, AZ 85234 | 2009-04-23 |
| 1801048244 | Crossroads Professional Counseling | Counselor | 1400 N Gilbert Rd, Suite B, Gilbert, AZ 85234-2328 | 2008-10-16 |
| 1265604920 | Maria Ward | Counselor | 1400 N Gilbert Rd, Suite P, Gilbert, AZ 85234-2328 | 2008-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500962 | Fatima Health LLC | Nurse Practitioner | 760 North Swallow Lane, Gilbert, AZ 85234 | 2020-05-22 |
| 1073152070 | American Care Concepts Hospice LLC | Hospice Care, Community Based | 765 N. Lindsay Rd., Ste. 208, Gilbert, AZ 85234 | 2019-12-23 |
| 1457918864 | Intuitive Healing Counseling Services, Pllc | Counselor | 3303 E Baseline Rd, Building 5, Suite 109, Gilbert, AZ 85234 | 2019-05-21 |
| 1487123907 | San Tan Behavioral Health Services LLC | Respite Care | 2671 East Vermont Court, Gilbert, AZ 85234 | 2018-11-14 |
| 1770052292 | San Tan Behavioral Health Services | Respite Care | 3970 East Juanita Avenue, Gilbert, AZ 85234 | 2018-11-14 |
| 1891262887 | Victoria Elizabeth Klennertt | Behavior Technician | 3503 E Michelle Way, Gilbert, AZ 85234 | 2018-10-27 |
| 1225503634 | Julia Elizabeth Wiens | Social Worker | 3651 E Baseline Rd Ste 120, Gilbert, AZ 85234 | 2018-10-11 |
| 1295219798 | Raylene Dawn Cargiulo | Registered Nurse | 55 S. Greenfield Rd., Gilbert, AZ 85234 | 2018-09-20 |
| 1346729092 | Katherine M Winegar | Nurse Practitioner | Banner Md Anderson Cancer Center- Administration Office, 2940 E Banner Gateway Drive, Gilbert, AZ 85234 | 2018-08-13 |
| 1881189199 | Desert Valley Oral Surgery | Oral & Maxillofacial Surgery | 2915 E. Baseline Road, Suite 106, Gilbert, AZ 85234 | 2018-06-28 |
| Find all providers in zip 85234 | ||||
| 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 |
|---|---|---|---|---|
| 1396362745 | Tracy Gerona | Dentist | 2885 E Weather Vane Rd, Gilbert, AZ 85296-9447 | 2020-07-01 |
| 1194363069 | Precision Dental Center Pllc | Dentist | 3885 S Val Vista Dr Ste 106, Gilbert, AZ 85297-7314 | 2019-12-11 |
| 1659863975 | Jonathan J Zuniga | Dentist | 33 N Lindsay Rd Ste 101, Gilbert, AZ 85234-5808 | 2018-06-01 |
| 1285172551 | Premier Family Dental Holdings LLC | Dentist | 3050 E Chandler Heights Rd, Ste 105, Gilbert, AZ 85290 | 2017-02-07 |
| 1710435490 | Daniel Masters | Dentist | 875 N Greenfield Rd Ste 114, Gilbert, AZ 85234-5044 | 2016-09-12 |
| 1629426507 | Progressive Sleep & Wellness Pllc | Dentist | 3303 E Baseline Rd Ste 105, Gilbert, AZ 85234-2739 | 2016-06-01 |
| 1861860488 | Gilbert Dental Professionals | Dentist | 110 S Val Vista Dr, Suite B-7, Gilbert, AZ 85296-1373 | 2015-09-14 |
| 1881076370 | Brodie Cook | Dentist | 3558 E Windsor Dr, Gilbert, AZ 85296-7397 | 2015-06-22 |
| 1427439405 | Adam Proctor | Dentist | 3338 E Sheffield Rd, Gilbert, AZ 85296-7384 | 2015-06-15 |
| 1649601014 | Fulcher Dental Plc | Dentist | 1166 S Gilbert Rd Ste 117, Gilbert, AZ 85296-3462 | 2013-12-10 |
| 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.