DENTAL SPECIALTY ASSOCIATES (NPI# 1114180320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114180320 |
| Entity Type | Organization |
| Organization Name | DENTAL SPECIALTY ASSOCIATES |
| Practice Address |
2730 S Val Vista Dr Suite 164 Gilbert AZ 85295-1675 |
| Practice Telephone | 4806339977 |
| Practice Fax Number | 4806333730 |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2008-07-08 |
| Authorized Official Name | DR. BRIAN A LILIEN (OWNER) |
| Authorized Official Telephone | 4806339977 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
D3985 | AZ | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992795272 | Dental Specialty Associates | Dentist | 477 N El Camino Real, B203, Encinitas, CA 92024-1328 | 2005-10-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | DENTAL SPECIALTY ASSOCIATES, P.C. | 155 E 38th St, New York, Ny 10016 |
| Street Address |
2730 S VAL VISTA DR SUITE 164 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85295-1675 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407848369 | M. Kathleen Mcbride | Social Worker | 2730 S Val Vista Dr, Suite 135, Gilbert, AZ 85295-1675 | 2005-08-17 |
| 1134698566 | Titilayo Grant | Nurse Practitioner | 2730 S Val Vista Dr, Gilbert, AZ 85295-1675 | 2018-11-14 |
| 1427584473 | Vincent Liou | Physician Assistant | 2730 S Val Vista Dr, #161, Gilbert, AZ 85295-1675 | 2017-05-11 |
| 1558897439 | Az Choice Foot and Ankle | Podiatrist | 2730 S Val Vista Dr, Suite 136, Gilbert, AZ 85295-1675 | 2017-05-11 |
| 1740716489 | Keith Bradshaw | Social Worker | 2730 S Val Vista Dr, Gilbert, AZ 85295-1675 | 2017-05-01 |
| 1477004935 | Pediatric Adult Endocrine Gilbert | Pediatrics | 2730 S Val Vista Dr, Bldg 10, Suite 161, Gilbert, AZ 85295 | 2016-10-20 |
| 1124481031 | Catherine Surovy | Counselor | 2730 S Val Vista Dr, #137, Gilbert, AZ 85295-1675 | 2016-03-30 |
| 1619333549 | Kara Sell | Nurse Practitioner | 2730 S Val Vista Dr, Suit 146, Gilbert, AZ 85295-1675 | 2016-01-07 |
| 1952766149 | Mark Waldrop II | Counselor | 2730 S Val Vista Dr, Suites 146 & 137, Gilbert, AZ 85295-1675 | 2015-12-15 |
| 1003293606 | Mark Wesbrock | Registered Nurse | 2730 S Val Vista Dr, Suite 137, Gilbert, AZ 85295-1675 | 2015-05-03 |
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|---|---|---|---|---|
| 1508471368 | Lifequest Holding Company Gilbert, LLC | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd Suite 101, Gilbert, AZ 85295 | 2020-09-09 |
| 1255946075 | Lifequest Physical Medicine and Rehab | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd. Suite 101, Gilbert, AZ 85295 | 2020-09-09 |
| 1407467962 | Lifequest Physical Medicine and Rehab | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd, Suite 101, Gilbert, AZ 85295 | 2020-08-10 |
| 1275187718 | Guylene Lucien | Nurse Practitioner | 1689 S. Parkcrest Street, Gilbert, AZ 85295 | 2019-08-01 |
| 1326607144 | Hand Up Behavioral Services, LLC | Community/Behavioral Health | 4145 East Megan Street, Gilbert, AZ 85295 | 2019-06-06 |
| 1629582069 | Victoria Munoz Garcia | Naturopath | 920 S Williams Field Rd., Ste 102, Gilbert, AZ 85295 | 2017-11-21 |
| 1649798752 | Eureka Imperial Residence | Clinic/Center | 633 E Ray Road, Gilbert, AZ 85295 | 2017-09-08 |
| 1447791496 | Janine Patrice Faux | Counselor | 2563 S. Val Vista Drive St. 108, Gilbert, AZ 85295 | 2017-03-10 |
| 1437690450 | Erskine & Barber LLC | Clinic/Center | 5656 S. Power Rd #129, Gilbert, AZ 85295 | 2017-03-09 |
| 1164965448 | New Horizon Youth Homes, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 774 E. Buffalo St, Chandler, AZ 85295 | 2016-11-18 |
| Find all providers in zip 85295 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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|---|---|---|---|---|
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| 1124374822 | Banner Hospital Based Physicians Arizona LLC | Clinic/Center | 1900 N Higley Rd, Gilbert, AZ 85234-1604 | 2012-07-31 |
| 1922049634 | Arizona Specialty Physicians | Clinic/Center | 3921 E Baseline Rd, Gilbert, AZ 85234-2732 | 2006-06-10 |
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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.