SANDSTONE ORAL MAXILLOFACIAL SURGERY PLLC (NPI# 1497317275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497317275 |
Entity Type | Organization |
Organization Name | SANDSTONE ORAL MAXILLOFACIAL SURGERY PLLC |
Practice Address |
20755 W Mcdowell Rd # 111 Buckeye AZ 85396-2070 |
Practice Telephone | 6234392222 |
Mailing Telephone | 6234392222 |
Enumeration Date | 2019-07-02 |
Last Update Date | 2019-07-02 |
Authorized Official Name | BRENT H BETHERS (OWNER) |
Authorized Official Telephone | 6234392222 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
Street Address |
20755 W MCDOWELL RD # 111 |
City | BUCKEYE |
State | AZ |
Zip Code | 85396-2070 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700423902 | Randy Bland | Respite Care | 20731 W Stone Hill Road, Buckeye, AZ 85396 | 2019-12-06 |
1659875698 | Arizona Dental Professionals, P.C. | Dentist | 4120 N 197th Ave, Buckeye, AZ 85396 | 2018-03-23 |
1407365083 | Ashley Nicole Brezovsky | Specialist/Technologist | 21188 W Granada Rd, Buckeye, AZ 85396 | 2017-09-26 |
1205219391 | Judy Jennings | Home Health Aide | 20470 W Delaney Dr, Buckeye, AZ 85396 | 2015-07-07 |
1407003650 | Brent H Bethers | Dentist | 20738 W Legend Trl, Buckeye, AZ 85396 | 2008-08-19 |
1437297256 | Patrick Nemechek | Internal Medicine | 4252 N. Verrado Way, Buckeye, AZ 85396 | 2007-02-02 |
1164748612 | Julie Beth Stavinoha | General Practice | 20955 W Hamilton St, Buckeye, AZ 85396-1518 | 2010-04-08 |
1629234828 | Debra Muckler | Physical Therapist | 2799 N Heritage St, Buckeye, AZ 85396-1520 | 2008-08-06 |
1619386596 | Professional Nutrition Consulting, Pllc | Clinic/Center | 2886 N Heritage St, Buckeye, AZ 85396-1522 | 2014-08-05 |
1811396997 | Elisa Anne Rodriguez | Nutritionist | 2886 N Heritage St, Buckeye, AZ 85396-1522 | 2014-08-14 |
Find all providers in zip 85396 |
Taxonomy Code | 1223S0112X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Surgery |
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255945366 | Phoenix Wisdom Teeth, LLC | Dentist | 17037 N 43rd Ave # A4a, Glendale, AZ 85308-4026 | 2020-09-04 |
1962052035 | Summit Aesthetics LLC | Dentist | 34209 N. Scottsdale Rd, Suite 103, Scottsdale, AZ 85266 | 2019-09-19 |
1790254183 | Delsnyder Dental Corp | Dentist | 995 E Baseline Rd Apt 1172, Tempe, AZ 85283-1354 | 2018-11-15 |
1346717246 | Robison Orthodontics LLC | Dentist | 1355 S Higley Rd # 105, Gilbert, AZ 85296 | 2018-10-29 |
1932674108 | A. W. Ray Dds Md LLC | Dentist | 928 W Chandler Blvd Ste D-2, Chandler, AZ 85225-4900 | 2018-10-03 |
1457844516 | Chandler Oral and Maxillofacial Surgery | Dentist | 1799 E Queen Creek Rd Ste 4, Chandler, AZ 85286-2015 | 2018-06-12 |
1730681776 | Phoenix Oral and Maxillofacial Surgeons | Dentist | 9515 W Camelback Rd Ste 122, Phoenix, AZ 85037-1365 | 2018-03-06 |
1861993040 | Joseph E. Pierse, Dmd, Pllc | Dentist | 2060 W Whispering Wind Dr Ste 167, Phoenix, AZ 85085-2869 | 2018-02-23 |
1477075653 | Bertz Professional Corporation | Dentist | 3501 N Scottsdale Rd Ste 110, Scottsdale, AZ 85251-5649 | 2017-07-10 |
1790205987 | Albert Edward Carlotti IIi | Dentist | 7930 E Thompson Peak Pkwy Ste 101, Scottsdale, AZ 85255-7403 | 2017-06-20 |
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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.