DENTISTS AT IRONWOOD CROSSING, LLP (NPI# 1245874940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245874940 |
| Entity Type | Organization |
| Organization Name | DENTISTS AT IRONWOOD CROSSING, LLP |
| Practice Address |
40930 N Ironwood Dr Ste 107 Queen Creek AZ 85140-8829 |
| Mailing Address |
17000 Red Hill Ave Irvine CA 92614-5626 |
| Practice Telephone | 4803470753 |
| Practice Fax Number | 4804483812 |
| Mailing Telephone | 7148458890 |
| Mailing Fax Number | 3039520892 |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2019-11-05 |
| Authorized Official Name | DR. MANUEL GUTIERREZ (OWNER) |
| Authorized Official Telephone | 4803470753 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Dentists at Ironwood Crossing | Doing Business As Name - Organization |
| Street Address |
40930 N IRONWOOD DR STE 107 |
| City | QUEEN CREEK |
| State | AZ |
| Zip Code | 85140-8829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801429634 | Bhsm Rehabilitation, LLC | Clinic/Center | 37200 North Gantzel Road, Suite 260, Queen Creek, AZ 85140 | 2020-02-20 |
| 1801455712 | Jose Enrique Knox | Specialist/Technologist, Other | 36018 North Secret Garden Path, Queen Creek, AZ 85140 | 2019-06-13 |
| 1629546171 | San Tan Valley Oral Facial and Implant Surgery Pllc | Oral & Maxillofacial Surgery | 36327 N Gantzel Rd, Suite 102, San Tan Valley, AZ 85140 | 2018-11-02 |
| 1780164582 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 40950 N Ironwood Dr, Queen Creek, AZ 85140 | 2018-08-21 |
| 1497249452 | San Tan Primary Care PC | Family Medicine | 36283 N Gantzel Rd Ste 101, San Tan Valley, AZ 85140 | 2018-06-21 |
| 1306386115 | Veronica Gonzalez | Licensed Practical Nurse | 733 E Angeline Ave, Queen Creek, AZ 85140 | 2017-02-27 |
| 1194198697 | Amanda Ellis | Residential Treatment Facility, Physical Disabilities | 381 East Brook Street, San Tan Valley, AZ 85140 | 2015-11-05 |
| 1043688336 | Felicia D Adams | Day Training/Habilitation Specialist | 1074 E. Press Rd, San Tan Valley, AZ 85140 | 2015-09-03 |
| 1376928598 | Amy Burks | Physical Therapy Assistant | 1479 E Oak Rd, San Tan Valley, AZ 85140 | 2015-07-29 |
| 1316367121 | Shanaya Suchak | Internal Medicine | 37000 N Gantzel Road, Attn: Hospitalists, San Tan Valley, AZ 85140 | 2014-04-19 |
| Find all providers in zip 85140 | ||||
| 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 |
|---|---|---|---|---|
| 1194337865 | Brie'el Wiles | Dentist | 21935 S 187th Way, Queen Creek, AZ 85142-6463 | 2020-08-23 |
| 1093346033 | Arizona Dental Professionals, P.C. | Dentist | 20311 S Ellsworth Rd Ste 101, Queen Creek, AZ 85142 | 2020-01-29 |
| 1528605649 | Dentists At Queen Creek, Pllc | Dentist | 21295 S Ellsworth Loop Rd, Queen Creek, AZ 85142-9866 | 2019-12-09 |
| 1861041923 | Sierra Ferreira | Dentist | 18471 E Queen Creek Rd Ste 106, Queen Creek, AZ 85142-3628 | 2019-09-10 |
| 1760036644 | Hdp Affinity Dental LLC | Dentist | 21321 E Ocotillo Rd Ste 130, Queen Creek, AZ 85142-5995 | 2019-07-29 |
| 1720649189 | Hdp Wolff Dental LLC | Dentist | 23844 S Power Rd Ste B-106, Queen Creek, AZ 85142-6152 | 2019-06-26 |
| 1033675400 | Highbury Dental Management, LLC | Dentist | 40930 N Ironwood Dr, Queen Creek, AZ 85140-8915 | 2019-02-11 |
| 1972097392 | Lydian Dental Queen Creek, LLC | Dentist | 21295 S Ellsworth Loop Rd Ste 103, Queen Creek, AZ 85142-9867 | 2018-06-19 |
| 1457874901 | Joshua Dorris | Dentist | 21136 E Creekside Dr, Queen Creek, AZ 85142-5042 | 2017-07-17 |
| 1831507631 | Brett Lewis Martin | Dentist | 21152 E Rittenhouse Rd Ste 106, Queen Creek, AZ 85142-4964 | 2014-07-24 |
| Find all providers in QUEEN CREEK | ||||
| City | QUEEN CREEK |
| Zip Code | 85140 |
Please comment or provide details below to improve the information on DENTISTS AT IRONWOOD CROSSING, LLP.
| 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.