PREMIER FAMILY DENTAL HOLDINGS LLC (NPI# 1285172551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285172551 |
| Entity Type | Organization |
| Organization Name | PREMIER FAMILY DENTAL HOLDINGS LLC |
| Other Organization Name | PREMIER FAMILY DENTAL |
| Practice Address |
3050 E Chandler Heights Rd Ste 105 Gilbert AZ 85290 |
| Practice Telephone | 4802795611 |
| Practice Fax Number | 4802795610 |
| Mailing Telephone | 4802795611 |
| Mailing Fax Number | 4802795610 |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2017-02-07 |
| Authorized Official Name | MS. BECKY ONDA (DIRECTOR OF CREDENTIALING) |
| Authorized Official Telephone | 4808899457 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
AZ | Dental Providers |
| Other Name | Type Code |
|---|---|
| Premier Family Dental | Doing Business As Name - Organization |
| Street Address |
3050 E CHANDLER HEIGHTS RD STE 105 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326876 | Nicole Francisca Roberts | Family Medicine | 1449 S Monterey St, Gilbert, AZ 85233-8436 | 2020-11-08 |
| 1598366767 | Meta Alpha Galabe | Registered Nurse | 4447 S Rock St, Gilbert, AZ 85297-4557 | 2020-11-04 |
| 1467053553 | Rachel Rt Wybron | Registered Nurse | 3317 S Higley Rd Ste 114-321, Gilbert, AZ 85297-5474 | 2020-11-04 |
| 1952902298 | Karissa Lynn Whitlatch | Counselor | 3651 E Baseline Rd Ste E120, Gilbert, AZ 85234-2689 | 2020-11-03 |
| 1699374371 | Kelley Brooke Corl | Nurse Practitioner | 872 S Pheasant Dr, Gilbert, AZ 85296-0440 | 2020-10-22 |
| 1831798073 | Vanessa Alfaro | Registered Nurse | 2085 S Voyager Dr, Gilbert, AZ 85295-5638 | 2020-10-20 |
| 1134728322 | Ashley Nichole Carter | Technician | 2413 Browning Frk, Gilbert, WV 25621-3239 | 2020-10-20 |
| 1528667615 | Elena Eloriaga | Nurse Practitioner | 1925 S Coronado Rd Apt 2133, Gilbert, AZ 85295-2219 | 2020-10-20 |
| 1598364838 | Ryan Nelson Sutton | Nurse Practitioner | 3719 E Loma Vista St, Gilbert, AZ 85295-4675 | 2020-10-19 |
| 1982203261 | Auxo Therapy LLC | Physical Therapist | 4140 E Sidewinder Ct, Gilbert, AZ 85297-8368 | 2020-10-19 |
| Find all providers in GILBERT | ||||
| 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 |
| 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 |
| 1386084689 | Quang Le | Dentist | 690 E Warner Rd Ste 126, Gilbert, AZ 85296-3057 | 2013-07-01 |
| 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.