SAN TAM DENTAL CARE & MOBILE CLINIC PC (NPI# 1477767010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477767010 |
| Entity Type | Organization |
| Organization Name | SAN TAM DENTAL CARE & MOBILE CLINIC PC |
| Other Organization Name | CHRISTINE L O CLAVERIA DMD |
| Practice Address |
22240 S Ellsworth Rd Suite 102 Queen Creek AZ 85242 |
| Practice Telephone | 4809879220 |
| Practice Fax Number | 4809870502 |
| Mailing Telephone | 4809879220 |
| Mailing Fax Number | 4809870502 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. CHRISTINE LYNN DIMERO CLAVERIA (PRESIDENT DENTIST) |
| Authorized Official Telephone | 4809879220 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 3335 | AZ | Dental Providers |
| Other Name | Type Code |
|---|---|
| Christine L O Claveria DMD | Former Legal Business Name - Organization |
| Street Address |
22240 S ELLSWORTH RD SUITE 102 |
| City | QUEEN CREEK |
| State | AZ |
| Zip Code | 85242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073832788 | Christine Lynn Dinero-claveria | Dentist | 22240 S Ellsworth Rd, Suite 102, Queen Creek, AZ 85142-8478 | 2010-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932430618 | Di Nguyen | Pharmacist | 3111 West Hunt Highway, Queen Creek, AZ 85242 | 2010-01-20 |
| 1174857056 | Jessica Lynn Donnelly | Behavioral Analyst | 21007 E. Avendia Del Valle, Queen Creek, AZ 85242 | 2009-09-25 |
| 1306093984 | Charles Mckenzie | Dentist | 40815 N Ironwood Drive, Ste A102, Queen Creek, AZ 85242 | 2008-08-26 |
| 1104014943 | Queen Creek Smiles, LLP | Dentist | 18550 East Rittenhouse Road, Suite 103, Queen Creek, AZ 85242 | 2007-10-05 |
| 1972700359 | Sunrise Internal Medicine PC | Internal Medicine | 22707 S. Ellsworth Rd., Suite #h105, Queen Creek, AZ 85242 | 2007-06-29 |
| 1083811277 | Brian Joseph Goodman | Dentist | 18610 E. Rittenhouse Rd., Queen Creek, AZ 85242 | 2007-06-29 |
| 1972704757 | San Tan Urgent Care Health Center | Clinic/Center | 21321 E Ocotillo Road, Suite 118, Queen Creek, AZ 85242 | 2007-05-30 |
| 1538375647 | Jennifer Jean Job | Occupational Therapy Assistant | 3575 E Lawndale Place, Queen Creek, AZ 85242 | 2007-05-15 |
| 1972718823 | Eric Joseph Harris | Dentist | 20261 E. Ocotillo Road, Suite 120, Queen Creek, AZ 85242 | 2007-05-14 |
| 1538371604 | Queen Creek Primary Care, P.C. | Clinic/Center | 20713 E. Ocotillo Road #100, Queen Creek, AZ 85242 | 2007-05-03 |
| Find all providers in zip 85242 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043701899 | Brittany Leigh Amor | Dentist | 18550 E Rittenhouse Rd Ste 103, Queen Creek, AZ 85142 | 2018-05-28 |
| 1114377751 | Charles W Culler | Dentist | 18610 E Rittenhouse Rd Ste A103, Queen Creek, AZ 85142-4504 | 2016-06-14 |
| 1003285834 | Spencer Torgerson | Dentist | 22717 S Ellsworth Rd # R, Suite B102, Queen Creek, AZ 85142-6127 | 2015-09-23 |
| 1295158947 | Douglas B Hunt PC | Dentist | 22711 S Ellsworth Rd, Queen Creek, AZ 85142-6788 | 2014-01-31 |
| 1689015398 | Mindi Alyse D'elia | Dentist | 1714 W Hunt Hwy, Ste 102, Queen Creek, AZ 85143-5244 | 2013-07-10 |
| 1972943793 | Jaime Jeanette Norton | Dentist | 18550 E Rittenhouse Rd, 103, Queen Creek, AZ 85142-4598 | 2013-06-25 |
| 1437598216 | Cody Cutler | Dentist | 23844 S Power Rd, Ste. B106, Queen Creek, AZ 85142-6152 | 2013-06-14 |
| 1275971988 | Mark A Johnson | Dentist | 1714 W Hunt Hwy Ste 100, Queen Creek, AZ 85143-5245 | 2013-06-05 |
| 1164770392 | Michael Edward Holub | Dentist | 21582 S Ellsworth Loop Rd Ste 126, Queen Creek, AZ 85142-7882 | 2012-08-20 |
| 1396025573 | Cameron Weaver Blyth | Dentist | 22211 South Elsworth Rd, Queen Creek, AZ 85142 | 2011-08-19 |
| Find all providers in QUEEN CREEK | ||||
| City | QUEEN CREEK |
| Zip Code | 85242 |
Please comment or provide details below to improve the information on SAN TAM DENTAL CARE & MOBILE CLINIC PC.
| 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.