SOHO- SENIOR ORAL HEALTH OUTREACH (NPI# 1366988404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366988404 |
Entity Type | Organization |
Organization Name | SOHO- SENIOR ORAL HEALTH OUTREACH |
Other Organization Name | SOHO- SPECIAL ORAL HEALTH OUTREACH |
Practice Address |
4901 N 44th St Suite 102 Phoenix AZ 85018-2782 |
Practice Telephone | 4807790227 |
Mailing Telephone | 4807790227 |
Enumeration Date | 2017-01-12 |
Last Update Date | 2017-01-12 |
Authorized Official Name | DR. STEFANIE HOURANI (DIRECTOR) |
Authorized Official Telephone | 4026500686 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
D08533 | AZ | Dental Providers |
N | 261QD0000X |
Clinic/Center Specialization: Dental |
D08533 | AZ | Ambulatory Health Care Facilities |
Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
D08533 | AZ | Dental Providers |
Other Name | Type Code |
---|---|
SOHO- Special Oral Health Outreach | Doing Business As Name - Organization |
Street Address |
4901 N 44TH ST SUITE 102 |
City | PHOENIX |
State | AZ |
Zip Code | 85018-2782 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962464321 | Amy Michelle Czyz | Optometrist | 4901 N 44th St, Suite 102, Phoenix, AZ 85018-2782 | 2006-04-03 |
1770830192 | Stefanie Hourani | Dentist | 4901 N 44th St, Suite 101, Phoenix, AZ 85018-2782 | 2012-08-06 |
1689951212 | R & D Camelback, LLC | Allergy & Immunology | 4901 N 44th St, Suite 103, Phoenix, AZ 85018-2782 | 2011-11-10 |
1497946685 | Michael Carl Saavedra | Allergy & Immunology | 4901 N 44th St, Suite 103, Phoenix, AZ 85018-2782 | 2007-08-05 |
1619002110 | Advanced Perspectives Eye Care | Optometrist | 4901 N 44th St, Suite 102, Phoenix, AZ 85018-2782 | 2007-02-23 |
1215092077 | David S Demaine | Dentist | 4901 N 44th St, Suite 100, Phoenix, AZ 85018-2782 | 2006-12-22 |
1356406110 | David S Demaine, Dds, PC | Clinic/Center | 4901 N 44th St, Suite 100, Phoenix, AZ 85018-2782 | 2006-12-22 |
1912079096 | Advanced Perspectives Eye Care | Optometrist | 4901 N 44th St, Suite 102, Phoenix, AZ 85018-2782 | 2006-11-14 |
1164591863 | Jennifer Thomas Mirabelli | Dentist | 4901 N 44th St, #101, Phoenix, AZ 85018-2782 | 2006-11-07 |
1033288733 | Camelback Pediatric Dentistry and Orthodontics | Dentist | 4901 N 44th St, #101, Phoenix, AZ 85018-2782 | 2006-11-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467098483 | Skyfalls LLC | Plastic Surgery | 3723 E Sells Drive, Phoenix, AZ 85018 | 2019-11-25 |
1568944148 | Avicenna Integrative Medicine Plc | Internal Medicine | 4429 N 44th St, Phoenix, AZ 85018 | 2018-08-30 |
1124547682 | Consulting Options, LLC | Orthopaedic Surgery | 5110 North 44th Street, Suite L200, Phoenix, AZ 85018 | 2017-09-15 |
1902322472 | Saskia Soliz | Behavioral Analyst | 2940 N 40th Street, Unit 19, Phoenix, AZ 85018 | 2017-08-16 |
1700233418 | Harriet Frost | Marriage & Family Therapist | 4500 N. 32nd Street, Suite 100-d, Phoenix, AZ 85018 | 2016-05-23 |
1356733547 | Margaret Murphy Conley | Acupuncturist | 3040 N 44th St Ste 3, Phoenix, AZ 85018 | 2015-02-24 |
1457766792 | Anne Marie Hatch | Psychiatry & Neurology | 5090 N 40th St Ste 250a, Phoenix, AZ 85018 | 2014-06-25 |
1972848315 | Crystal M Ostermeyer | Physician Assistant | 4350 East Camelback Rd, Suite G-100, Phoenix, AZ 85018 | 2012-12-11 |
1699029652 | Monte Vista School | Local Education Agency (LEA) | 3501 E. Osborn Road, Phoenix, AZ 85018 | 2012-10-30 |
1962754028 | Jill R. Zweig D.o., PC | Psychiatry & Neurology | 5110 N 40th Street, Suite 104, Phoenix, AZ 85018 | 2012-10-12 |
Find all providers in zip 85018 |
Taxonomy Code | 1223D0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Dental Public Health |
The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407390826 | Westwinddental Unionhills | Dentist | 717 W Union Hills Dr, Phoenix, AZ 85027-5580 | 2016-12-05 |
1538580113 | Brian T. Hanstad | Dentist | 2105 N. Citrus Ln, Aspc-perryville, Phoenix, AZ 85395 | 2013-12-26 |
1538593157 | Arizona Department of Health Services | Dentist | 150 N 18th Avenue, Suite 320, Phoenix, AZ 85007-3205 | 2013-08-30 |
1609110915 | Sierra Sky Dental LLC | Dentist | 5259 W Indian School Rd, Suite 110, Phoenix, AZ 85031-2604 | 2012-11-27 |
1336275833 | Arizona Department of Health Services, Office of Oral Health | Dentist | 1740 W Adams St, Rm 205, Phoenix, AZ 85007-2607 | 2007-02-26 |
1376151860 | Saif Ghanem | Dentist | 9242 N 7th St, Phoenix, AZ 85020-2502 | 2020-07-21 |
1275077513 | Westwinddental Downtown | Dentist | 3806 N 3rd St, Phoenix, AZ 85012-2015 | 2016-12-06 |
1770830192 | Stefanie Hourani | Dentist | 4901 N 44th St, Suite 101, Phoenix, AZ 85018-2782 | 2012-08-06 |
1871738245 | Allan L Noble | Dentist | 3250 W Lower Buckeye Rd, Phoenix, AZ 85009-6729 | 2008-12-12 |
1003988064 | Wayne Wilkinson Cottam | Dentist | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2006-11-14 |
Find all providers in PHOENIX |
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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.