SAN TAN PEDIATRIC DENTAL (NPI# 1265625552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265625552 |
| Entity Type | Organization |
| Organization Name | SAN TAN PEDIATRIC DENTAL |
| Practice Address |
2510 E Hunt Hwy Suite #29 Queen Creek AZ 85243-5206 |
| Practice Telephone | 4804571693 |
| Practice Fax Number | 4804571321 |
| Mailing Telephone | 4804571693 |
| Mailing Fax Number | 4804571321 |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2008-10-09 |
| Authorized Official Name | DR. STEPHEN J MONTOYA (OWNER) |
| Authorized Official Telephone | 4804571693 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
7384 | AZ | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 285009 | 05 |
| Street Address |
2510 E HUNT HWY SUITE #29 |
| City | QUEEN CREEK |
| State | AZ |
| Zip Code | 85243-5206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467607218 | Montoya Pediatric Dentistry LLC Dba San Tan Pediatric Dental | Dentist | 2510 E Hunt Hwy, Ste. 29, Queen Creek, AZ 85243-5206 | 2008-11-20 |
| 1407045636 | Stephen J Montoya | Dentist | 2510 E Hunt Hwy, Ste. 29, Queen Creek, AZ 85243-5206 | 2007-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811250301 | Skyline Dental Group and Orthodontics, LLP | Dentist | 1714 West Hunt Hwy, Suite 100, Queen Creek, AZ 85243 | 2012-06-19 |
| 1467672386 | Copper Dental Management | Dentist | 2510 E Hunt Highway, #28, Queen Creek, AZ 85243 | 2007-04-26 |
| 1346387404 | Joseph Timbre | Optometrist | 1725 W Hunt Highway, Queen Creek, AZ 85243 | 2007-01-30 |
| 1801942636 | Diane R Kuhlmann | Licensed Practical Nurse | 1084 W San Tan Hills, Queen Creek, AZ 85243 | 2007-01-26 |
| 1285798678 | Annette Winsor | Technician | 184 E Piccolo Ct, Queen Creek, AZ 85243 | 2006-12-20 |
| 1972675031 | Patricia Ellen Keaton | Technician | 31317 N Blackfoot Dr, Queen Creek, AZ 85243 | 2006-11-14 |
| 1134366065 | Abby Mcneil | Occupational Therapist | 31437 N Desert Star Dr, Queen Creek, AZ 85243-3046 | 2009-01-14 |
| 1265694012 | Walter M Dise | Non-emergency Medical Transport (VAN) | 34095 N Slate Creek Dr, Queen Creek, AZ 85243-3420 | 2008-07-01 |
| 1700070489 | John David Mather | Clinical Neuropsychologist | 1084 San Tan Hills Dr, Queen Creek, AZ 85243-3489 | 2007-09-05 |
| 1629233507 | Sellner Home Care LLC | Hospice Care, Community Based | 775 W Desert Canyon Dr, Queen Creek, AZ 85243-3515 | 2008-07-21 |
| Find all providers in zip 85243 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386917839 | Community Dental Partners | Dentist | 21321 E Ocotillo Rd, Bldg C Ste.106, Queen Creek, AZ 85142-5996 | 2012-02-14 |
| 1467607218 | Montoya Pediatric Dentistry LLC Dba San Tan Pediatric Dental | Dentist | 2510 E Hunt Hwy, Ste. 29, Queen Creek, AZ 85243-5206 | 2008-11-20 |
| 1407045636 | Stephen J Montoya | Dentist | 2510 E Hunt Hwy, Ste. 29, Queen Creek, AZ 85243-5206 | 2007-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881206274 | Totally Kids Dental P.C. | Dentist | 602 W Union Hills Dr Ste 9, Phoenix, AZ 85027-6629 | 2020-08-18 |
| 1033750724 | Mesa Valley Dental LLC | Dentist | 1220 S Higley Rd Ste 206, Mesa, AZ 85206-4002 | 2019-10-03 |
| 1942841663 | Mesa Kidtastic Dental LLC | Dentist | 1240 W Southern Ave Ste 112, Mesa, AZ 85202-4882 | 2019-10-03 |
| 1497396170 | Gilbert Kidtastic Dental LLC | Dentist | 3303 E Queen Creek Rd Ste 106, Gilbert, AZ 85297-8532 | 2019-10-03 |
| 1386207785 | Cattron's Dmd, Pllc | Dentist | 4024 E Guadalupe Rd Ste 105, Gilbert, AZ 85234-7672 | 2019-04-21 |
| 1578126470 | Scottsdale Pediatric Dental Associates Inc | Dentist | 9280 E Raintree, Suite 108, Scottsdale, AZ 85260 | 2019-04-16 |
| 1194200980 | Highbury Dental Management, LLC | Dentist | 4425 S Mountain Rd, Suite 109, Mesa, AZ 85212 | 2018-09-27 |
| 1568957199 | Maureen Malingkas | Dentist | 8248 W Deer Valley Rd, Peoria, AZ 85382-2198 | 2018-06-26 |
| 1407344567 | Kids Dental Group Pllc | Dentist | 6239 E Brown Rd Ste 102, Mesa, AZ 85205-4933 | 2018-04-24 |
| 1861989121 | Logan Mariano | Dentist | 4383 E Rosemonte Dr, Phoenix, AZ 85050-3407 | 2018-04-21 |
| Find all providers with the same taxonomy | ||||
| City | QUEEN CREEK |
| Zip Code | 85243 |
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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.