PROMENADE SMILES, LLP (NPI# 1437392248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437392248 |
| Entity Type | Organization |
| Organization Name | PROMENADE SMILES, LLP |
| Other Organization Name | PROMENADE SMILES |
| Practice Address |
808 N Mission Pkwy Casa Grande AZ 85194-8412 |
| Mailing Address |
2860 Michelle 2nd Floor Irvine CA 92606-1009 |
| Practice Telephone | 5204263639 |
| Practice Fax Number | 5208367208 |
| Mailing Telephone | 7143682077 |
| Mailing Fax Number | 7143682092 |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2010-10-22 |
| Authorized Official Name | DR. DARIN S REAGAN (OWNER DOCTOR) |
| Authorized Official Telephone | 5204263639 |
| Authorized Official Credential | DDS |
| 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 |
|---|---|
| Promenade Smiles | Doing Business As Name - Organization |
| Street Address |
808 N MISSION PKWY |
| City | CASA GRANDE |
| State | AZ |
| Zip Code | 85194-8412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639466824 | Lafe Allen Chaffee | Dentist | 808 N Mission Pkwy, Casa Grande, AZ 85194-8412 | 2011-07-07 |
| 1942515226 | David Jones | Dentist | 808 N Mission Pkwy, Casa Grande, AZ 85194-8412 | 2010-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710067608 | Franklin Herok Baroi | Family Medicine | 7555 N Overfield Road, Casa Grande, AZ 85194 | 2006-10-16 |
| 1902990666 | Horizon Health and Wellness, Inc. | Counselor | 5497 W. Mccartney Rd, Casa Grande, AZ 85194 | 2006-10-03 |
| 1871787762 | Target Corporation | Durable Medical Equipment & Medical Supplies | 951 N Promenade Pkwy, Casa Grande, AZ 85194-5400 | 2007-09-04 |
| 1760884829 | Jason Fenker | Pharmacist | 951 N Promenade Pkwy, Casa Grande, AZ 85194-5400 | 2014-09-20 |
| 1144591439 | Dawn M Franklin | Pharmacist | 951 N Promenade Pkwy, T2353, Casa Grande, AZ 85194-5400 | 2012-01-19 |
| 1588959100 | Kelly Johanna Schneider | Pharmacist | 951 N Promenade Pkwy, Casa Grande, AZ 85194-5400 | 2011-06-10 |
| 1891089041 | Kyle Johnson Palmateer | Pharmacist | 951 N Promenade Pkwy, T2353, Casa Grande, AZ 85194-5400 | 2011-06-06 |
| 1518110865 | Visionworks Inc | Eyewear Supplier (Equipment, not the service) | 917 N Promenade Pkwy, Suite 101, Casa Grande, AZ 85194-5415 | 2008-10-30 |
| 1164780243 | America's Best Contacts & Eyeglasses | Technician/Technologist | 1004 N Promenade Pkwy Ste 118, Casa Grande, AZ 85194-5419 | 2012-04-26 |
| 1376797118 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2483 E Florence Blvd, Casa Grande, AZ 85194-5429 | 2008-11-06 |
| Find all providers in zip 85194 | ||||
| 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 |
|---|---|---|---|---|
| 1366040057 | Hdp Casa Grande Dental LLC | Dentist | 1968 N Peart Rd Ste 22, Casa Grande, AZ 85122-2497 | 2020-10-14 |
| 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 |
| 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 | 85194 |
Please comment or provide details below to improve the information on PROMENADE SMILES, LLP.
| 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.