KIDS DENTAL , P.C. (NPI# 1194059931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194059931 |
Entity Type | Organization |
Organization Name | KIDS DENTAL , P.C. |
Other Organization Name | KIDS DENTAL PLACE |
Practice Address |
9515 W Camelback Rd #140 Phoenix AZ 85037-1355 |
Practice Telephone | 6238722662 |
Practice Fax Number | 6029562209 |
Mailing Telephone | 6238722662 |
Mailing Fax Number | 6029562209 |
Enumeration Date | 2009-09-28 |
Last Update Date | 2009-09-28 |
Authorized Official Name | GEORGE RAYMOND AYOUB (DOCTOR) |
Authorized Official Telephone | 6029562024 |
Authorized Official Credential | D.D.S. |
Is Organization Subpart | Y |
Parent Organization Name | KIDS DENTAL PLACE |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
6399 | AZ | Dental Providers |
Other Name | Type Code |
---|---|
Kids Dental Place | Doing Business As Name - Organization |
Street Address |
9515 W CAMELBACK RD #140 |
City | PHOENIX |
State | AZ |
Zip Code | 85037-1355 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861494197 | Gary Lynn Kersten | Obstetrics & Gynecology | 9515 W Camelback Rd, Ste 108, Phoenix, AZ 85037-1355 | 2005-05-31 |
1538627914 | Chandra Vivian Sorrelle | Internal Medicine | 9515 W Camelback Rd, Phoenix, AZ 85037-1355 | 2019-03-05 |
1124428875 | Arizona Central Surgical Associates Pllc | Surgery | 9515 W Camelback Rd, Suite 132, Phoenix, AZ 85037-1355 | 2014-08-31 |
1619389145 | Siri Priyam, LLC | Internal Medicine | 9515 W Camelback Rd, Suite 114, Phoenix, AZ 85037-1355 | 2014-06-02 |
1770862484 | Vein Specialists of Arizona LLC | Surgery | 9515 W Camelback Rd, Suite 108, Phoenix, AZ 85037-1355 | 2011-08-11 |
1750690335 | Thomas Brent Strawn | Specialist | 9515 W Camelback Rd, Suite 106, Phoenix, AZ 85037 | 2010-09-30 |
1831401934 | The Vision Center of West Phoenix | Optometrist | 9515 W Camelback Rd, Suite 110, Phoenix, AZ 85037-1355 | 2010-07-06 |
1598097388 | Auc Investor's Group, LLC. | Clinic/Center | 9515 W Camelback Rd, Suite 136, Phoenix, AZ 85037-1355 | 2010-02-04 |
1174767834 | Digestive Healthcare Associates, LLC | Internal Medicine | 9515 W Camelback Rd, Suite 102, Phoenix, AZ 85037-1355 | 2009-04-25 |
1730337213 | Arizona Family Wellness Center Pllc | Family Medicine | 9515 W Camelback Rd, Suite 126, Phoenix, AZ 85037 | 2008-09-08 |
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1356969828 | Live Well Assisted Living LLC | Psychiatric Residential Treatment Facility | 9210 W Loow Bend Lane, Phoenix, AZ 85037 | 2020-07-10 |
1770126260 | Medical Management Systems, Inc. | Assisted Living Facility | 2209 N. Rascon Loop, Phoenix, AZ 85037 | 2019-10-28 |
1346800760 | Sonoran Sky Family Dentistry | Dentist | 9515 West Camelback Road, Suite #120, Phoenix, AZ 85037 | 2019-06-18 |
1578025136 | Jennifer Natasha Kunz | Nurse Practitioner | Cleanslate, 8410 W. Thomas Rd, Phoenix, AZ 85037 | 2019-04-03 |
1740751320 | Mariposa Phoenix Al Partners, Lp | Assisted Living Facility | 3100 N 91st Avenue, Phoenix, AZ 85037 | 2018-12-08 |
1417442799 | Prop Anesthesia LLC | Nurse Anesthetist, Certified Registered | 9250 W Thomas Rd Ste 220, Phoenix, AZ 85037 | 2018-06-28 |
1922522242 | Tree of Life Mental Health Systems, LLC | Behavior Technician | 8400 W. Virginia, #1138, Phoenix, AZ 85037 | 2017-07-28 |
1720500465 | Moc Phoenix, LLC | Assisted Living Facility | 3000 N. 91st Avenue, Phoenix, AZ 85037 | 2017-07-14 |
1407385826 | Not Alone Home Care, LLC | In Home Supportive Care | 9422 W Palm Lane, Phoenix, AZ 85037 | 2017-06-08 |
1063953081 | Karla Soward | Radiologic Technologist | 2015 N Rascon Loop, Phoenix, AZ 85037 | 2017-03-09 |
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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 |
---|---|---|---|---|
1205441136 | Maryvale Dental Studio | Dentist | 7614 W Indian School Rd # 2, Phoenix, AZ 85033-3035 | 2020-09-08 |
1912516535 | Ford Calaway Dentistry & Orthodontics LLC | Dentist | 2111 E Highland Ave Ste B, Phoenix, AZ 85016-4741 | 2020-07-29 |
1568085637 | Family Dental Phoenix | Dentist | 2401 W Glendale Ave Ste 102, Phoenix, AZ 85021-7621 | 2020-05-24 |
1699308866 | Signature Dental Partners LLC | Dentist | 410 N 44th St Ste 290, Phoenix, AZ 85008-7622 | 2020-02-17 |
1164062618 | Smile Dentistry Pllc | Dentist | 1238 E. Chandler Blvd. #101, Phoenix, AZ 85048 | 2020-01-13 |
1942849146 | Risas O.s. Dental Partners Az LLC | Dentist | 7442 W. Thomas Rd., Phoenix, AZ 85033 | 2020-01-06 |
1831748532 | Benjamin Paul Chalom Baranes | Dentist | 5225 N 19th Ave Ste C, Phoenix, AZ 85015-2903 | 2019-09-05 |
1346800760 | Sonoran Sky Family Dentistry | Dentist | 9515 West Camelback Road, Suite #120, Phoenix, AZ 85037 | 2019-06-18 |
1376101188 | Bethany Helen Armendariz | Dentist | 4757 E Greenway Rd # Set108, Phoenix, AZ 85032-8513 | 2019-06-05 |
1851958300 | Smile Dental Studio | Dentist | 10209 N 35th Ave Ste 129, Phoenix, AZ 85051-9619 | 2019-05-21 |
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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.