PEDIATRIC DENTAL SPECIALISTS, PPC


Address: 2550 E Guadalupe Rd, Suite 101, Gilbert, AZ 85234-5114
Phone: 4805580777

PEDIATRIC DENTAL SPECIALISTS, PPC (NPI# 1336146745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336146745
Entity Type Organization
Organization Name PEDIATRIC DENTAL SPECIALISTS, PPC
Practice Address 2550 E Guadalupe Rd
Suite 101
Gilbert
AZ 85234-5114
Practice Telephone 4805580777
Practice Fax Number 4805580888
Mailing Telephone 4805580777
Mailing Fax Number 4805580888
Enumeration Date 2005-06-30
Last Update Date 2020-08-22
Authorized Official Name DR. JONATHAN LEE STAKER (TREASURER)
Authorized Official Telephone 4805580777
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
========= AZ Dental Providers

Office Location

Street Address 2550 E GUADALUPE RD
SUITE 101
City GILBERT
State AZ
Zip Code 85234-5114

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649710310 Jamie P Coffey Dpm PC Podiatrist 2550 E Guadalupe Rd, Suite 106, Gilbert, AZ 85234-5114 2017-03-01
1447429824 Stefanie Ann Laystrom Physician Assistant 2550 E Guadalupe Rd, Ste. 115, Gilbert, AZ 85234-5114 2008-02-29
1366633620 Stephanie C Mayes Obstetrics & Gynecology 2550 E Guadalupe Rd, Suite 109, Gilbert, AZ 85234 2007-08-01
1841491453 Donald Joseph Sanchez Dentist 2550 E Guadalupe Rd, Suite 101, Gilbert, AZ 85234-5114 2007-05-30
1801955455 Farnsworth Orthopedic Physical Therapy, LLC Physical Therapist 2550 E Guadalupe Rd, Suite 111, Gilbert, AZ 85234-5114 2006-12-08
1497845903 Thomas Cox Farnsworth Physical Therapist 2550 E Guadalupe Rd, Suite 111, Gilbert, AZ 85234-5114 2006-10-13
1528158037 Travis Kent Rohner Physical Therapist 2550 E Guadalupe Rd, Suite 111, Gilbert, AZ 85234-5114 2006-10-13
1881784304 Clinton Ray Bunker Physical Therapist 2550 E Guadalupe Rd, Suite 111, Gilbert, AZ 85234-5114 2006-10-13
1760573315 Jonathan L Staker Dentist 2550 E Guadalupe Rd, Suite #101, Gilbert, AZ 85234-5114 2006-09-27
1982795548 Kimberly Sherrill Dentist 2550 E Guadalupe Rd, Suite #101, Gilbert, AZ 85234-5114 2006-09-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710500962 Fatima Health LLC Nurse Practitioner 760 North Swallow Lane, Gilbert, AZ 85234 2020-05-22
1073152070 American Care Concepts Hospice LLC Hospice Care, Community Based 765 N. Lindsay Rd., Ste. 208, Gilbert, AZ 85234 2019-12-23
1457918864 Intuitive Healing Counseling Services, Pllc Counselor 3303 E Baseline Rd, Building 5, Suite 109, Gilbert, AZ 85234 2019-05-21
1487123907 San Tan Behavioral Health Services LLC Respite Care 2671 East Vermont Court, Gilbert, AZ 85234 2018-11-14
1770052292 San Tan Behavioral Health Services Respite Care 3970 East Juanita Avenue, Gilbert, AZ 85234 2018-11-14
1891262887 Victoria Elizabeth Klennertt Behavior Technician 3503 E Michelle Way, Gilbert, AZ 85234 2018-10-27
1225503634 Julia Elizabeth Wiens Social Worker 3651 E Baseline Rd Ste 120, Gilbert, AZ 85234 2018-10-11
1295219798 Raylene Dawn Cargiulo Registered Nurse 55 S. Greenfield Rd., Gilbert, AZ 85234 2018-09-20
1346729092 Katherine M Winegar Nurse Practitioner Banner Md Anderson Cancer Center- Administration Office, 2940 E Banner Gateway Drive, Gilbert, AZ 85234 2018-08-13
1881189199 Desert Valley Oral Surgery Oral & Maxillofacial Surgery 2915 E. Baseline Road, Suite 106, Gilbert, AZ 85234 2018-06-28
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Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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
1487158473 Jared Benjamin Tinker Dentist 3592 S Atherton Blvd Ste 107, Gilbert, AZ 85297-7444 2018-03-22
1184167447 John E. Culp, IIi Dmd, PC Dentist 2080 E Williams Field Rd, Suite #104, Gilbert, AZ 85295-0702 2016-11-18
1871950071 Joseph Creech Dentist 2550 E Guadalupe Rd Ste 101, Gilbert, AZ 85234-5114 2016-01-20
1073895629 Kidiatric Dentistry, Pllc Dentist 913 E Warner Rd, Gilbert, AZ 85296-3078 2011-09-09
1861663635 Gavin Cotant Christensen Dentist 3303 E Queen Creek Rd, Suite 106, Gilbert, AZ 85297-8532 2008-03-19
1285753574 Timothy J Bashara Dentist 5656 S. Power Rd., Ste. 118, Gilbert, AZ 85295 2007-03-28
1780749333 Abc Dentistry for Children Dentist 2363 E Baseline Rd, Gilbert, AZ 85234-2357 2006-12-26
1053488650 Jared Weston Welch Dentist 3011 S Lindsay Rd Ste 108, Gilbert, AZ 85296-0702 2006-11-29
Find all providers in GILBERT

Competitor

Search similar providers

City GILBERT
Zip Code 85234

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Dataset Information

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.

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