KIDS DENTISTS OF SURPRISE AND ORTHODONTICS, LLP (NPI# 1508410887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508410887 |
| Entity Type | Organization |
| Organization Name | KIDS DENTISTS OF SURPRISE AND ORTHODONTICS, LLP |
| Practice Address |
15180 N. Cotton Lane, Suite 104 Surprise AZ 85388 |
| Mailing Address |
17000 Red Hill Ave Irvine CA 92614-5626 |
| Practice Telephone | 6232146543 |
| Practice Fax Number | 6232145830 |
| Mailing Telephone | 7148458500 |
| Mailing Fax Number | 3039520892 |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2019-07-25 |
| Authorized Official Name | ISABEL C SIMPSON (OWNER) |
| Authorized Official Telephone | 6232146543 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| Kids Dentists of Surprise and Orthodontics | Doing Business As Name - Organization |
| Street Address |
15180 N. COTTON LANE, SUITE 104 |
| City | SURPRISE |
| State | AZ |
| Zip Code | 85388 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588148803 | Moahk Behavioral Home LLC | Assisted Living Facility | 16645 West Central Street, Surprise, AZ 85388 | 2018-09-21 |
| 1881118867 | Haja Sankoh | Behavior Technician | 16645 West Central St, Surprise, AZ 85388 | 2017-08-01 |
| 1235516675 | Benjamin J Hegenbarth | Family Medicine | 14981 Nth 174 Dr., Surprise, AZ 85388 | 2015-05-06 |
| 1447644521 | Urgent Care Centers of Arizona, LLC | Clinic/Center | 16840 W. Waddell Road, Suite 110, Surprise, AZ 85388 | 2015-03-26 |
| 1548512239 | We Care Medical Supply Plus | Durable Medical Equipment & Medical Supplies | 17317 W. Banff Lane, Surprise, AZ 85388 | 2012-10-05 |
| 1376871095 | Rebecca Kimberly Adamoli | Nurse's Aide | 17999 N. Surprise Farms Loop South, Surprise, AZ 85388 | 2009-11-19 |
| 1417281395 | Tracy Dunbar | Respite Care | 18245 West Port Royale Ln., Surprise, AZ 85388 | 2009-09-25 |
| 1467696617 | Eileen Georgina Soltis | Registered Nurse | 17359 W. Surprise Farms Loop N, Surprise, AZ 85388 | 2009-04-30 |
| 1538306360 | Wholistic Integrative Caring Network LLC | Nurse Practitioner | 16278 N. 164th Lane, Surprise, AZ 85388 | 2009-01-15 |
| 1285856252 | Joseph Anthony Dellamarggio | Psychologist | 17901 W. Lundberg Street, Surprise, AZ 85388 | 2007-05-02 |
| Find all providers in zip 85388 | ||||
| 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 |
|---|---|---|---|---|
| 1891346003 | Abdullah Ahmad | Dentist | 13820 W Bell Rd Ste 5, Surprise, AZ 85374-3991 | 2019-09-28 |
| 1629554167 | Great Smiles Dental Care | Dentist | 14800 W. Mountain View Blvd, Suite 200, Surprise, AZ 85574 | 2018-07-18 |
| 1649766452 | Keeley Nga Le | Dentist | 17081 W Greenway Rd Ste 120, Surprise, AZ 85388-9612 | 2018-07-04 |
| 1538653936 | Erin Balaban | Dentist | 15317 W Bell Rd Suite 108, Surprise, AZ 85374-4509 | 2018-06-19 |
| 1790139749 | Timothy Scott Paulson Jr. | Dentist | 15229 W Elko Dr, Surprise, AZ 85374-4469 | 2016-04-15 |
| 1679933154 | Surprise Family Dentistry | Dentist | 18775 N Reems Rd Ste 300, Surprise, AZ 85374-8647 | 2016-02-26 |
| 1811373350 | Jessica Brereton Peterkin | Dentist | 13856 W Waddell Rd Ste 102, Surprise, AZ 85379-3801 | 2015-08-06 |
| 1447649454 | Jose E Delos Santos | Dentist | 15717 W Jenan Dr, Surprise, AZ 85379-1026 | 2015-01-14 |
| 1104231562 | Zachary Martineau | Dentist | 15341 W Waddell Rd Ste B107, Surprise, AZ 85379-5169 | 2014-06-24 |
| 1164860755 | Nicholas Stephen Netzel | Dentist | 15294 N Brookside Ln, Surprise, AZ 85374 | 2013-06-05 |
| Find all providers in SURPRISE | ||||
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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.