HDP CASA GRANDE DENTAL LLC (NPI# 1366040057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366040057 |
| Entity Type | Organization |
| Organization Name | HDP CASA GRANDE DENTAL LLC |
| Practice Address |
1968 N Peart Rd Ste 22 Casa Grande AZ 85122-2497 |
| Practice Telephone | 5204260404 |
| Mailing Telephone | 5204260404 |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2020-10-14 |
| Authorized Official Name | FAITH GASKINS (DIRECTOR OF CREDENTIALING) |
| Authorized Official Telephone | 9728693789 |
| 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 |
|---|---|
| DM Family Dentistry LLC | Doing Business As Name - Organization |
| Street Address |
1968 N PEART RD STE 22 |
| City | CASA GRANDE |
| State | AZ |
| Zip Code | 85122-2497 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043857097 | Karen M Garcia | Registered Nurse | 2631 N Brown Avenue, Casa Grande, AZ 85122 | 2019-12-09 |
| 1063060291 | Martha Bollin | Registered Nurse | 2631 N. Brown Ave., Casa Grande, AZ 85122 | 2019-08-30 |
| 1841846920 | Banner Imaging Services LLC | Radiology | 1828 E. Florence Blvd Bldg B Ste 118 & 128, Suite 118 and 128, Casa Grande, AZ 85122 | 2019-08-14 |
| 1629532692 | Kirk Lee Mackley | Physical Therapist | Vibrant Care, 1355 E Florence Blvd #137, Casa Grande, AZ 85122 | 2019-01-24 |
| 1205307436 | Natalie T Trujillo | Physician Assistant | 301 E Cottonwood Ln Ste 1&2, Casa Grande, AZ 85122 | 2018-12-16 |
| 1710455860 | Community Intervention Associates, Inc | Clinic/Center | 1667 N. Trekell Rd, Suite 101 & 102, Casa Grande, AZ 85122 | 2018-11-07 |
| 1245728302 | Jenkins Chiropractic LLC | Chiropractor | 1891 N Trekell Rd Ste 2, Casa Grande, AZ 85122 | 2018-04-24 |
| 1497242408 | Kelly Winnett | Naturopath | 1415 N Trekell Rd Ste 102, Casa Grande, AZ 85122 | 2018-04-16 |
| 1851895783 | Michael Brubaker Counseling | Community/Behavioral Health | 1927 N. Trekell Rd, Ste D, Casa Grande, AZ 85122 | 2018-03-23 |
| 1770095317 | Walmart Stores Inc. | Pharmacy | 1741 E. Florence Blvd, Casa Grande, AZ 85122 | 2017-11-03 |
| Find all providers in zip 85122 | ||||
| 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 |
|---|---|---|---|---|
| 1851521918 | Casa Grande Impressions II, LLC | Dentist | 442 W Kortsen Rd, Suite 104, Casa Grande, AZ 85222-5913 | 2009-07-22 |
| 1770712820 | Tyson Archer Davis | Dentist | 2028 N Trekell Rd Ste 107, Casa Grande, AZ 85122-1326 | 2009-07-10 |
| 1437392248 | Promenade Smiles, LLP | Dentist | 808 N Mission Pkwy, Casa Grande, AZ 85194-8412 | 2009-04-08 |
| 1639333479 | Villago Marketplace Dental Care PC | Dentist | 2876 N Pinal Ave, Suite 4, Casa Grande, AZ 85222 | 2008-07-10 |
| 1639344849 | Steven H. Dill | Dentist | 2028 N Trekell Rd Ste 108, Casa Grande, AZ 85222-1326 | 2008-04-29 |
| 1619168259 | Spencer David Weed | Dentist | 1677 E Florence Blvd Ste 24, Casa Grande, AZ 85122-4786 | 2007-08-08 |
| 1033319942 | Brannon Jay Gunnell | Dentist | 1550 E Florence Blvd Ste 4, Casa Grande, AZ 85222-4788 | 2007-07-19 |
| 1225175847 | Scott Paul Gunnell | Dentist | 1550 E Florence Blvd, 4, Casa Grande, AZ 85222 | 2007-01-31 |
| 1487791018 | Daryl B. Potyczka | Dentist | 1355 E. Florence Ave. #107, Casa Grande, AZ 85222 | 2007-01-31 |
| 1750439923 | Yang and Yang, D.m.d., P.C. | Dentist | 325 E Cottonwood Ln, Casa Grande, AZ 85222-2550 | 2007-01-06 |
| Find all providers in CASA GRANDE | ||||
| City | CASA GRANDE |
| Zip Code | 85122 |
Please comment or provide details below to improve the information on HDP CASA GRANDE DENTAL LLC.
| 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.