DR. CHARLES WALTER PATTERSON (NPI# 1508842410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508842410 |
| Entity Type | Individual |
| Full Name | DR. CHARLES WALTER PATTERSON |
| Credential | D.D.S. |
| Practice Address |
2876 N Pinal Ave Ste 4 Casa Grande AZ 85122-7944 |
| Mailing Address |
515 Chamberlain Ln Unit 209 Naperville IL 60540-9289 |
| Practice Telephone | 5203742225 |
| Practice Fax Number | 5203742229 |
| Mailing Telephone | 6302105419 |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2020-09-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D010589 | AZ | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | DENTAL LICENSE | D010589 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124414610 | Charles Patterson | Student in an Organized Health Care Education/Training Program | 1542 Tulane Ave Rm 734b, New Orleans, LA 70112-2865 | 2015-04-10 |
| 1295021418 | Charles P Patterson | Specialist | 824 W German St, Herkimer, NY 13350-2136 | 2011-06-27 |
| 1215189352 | Charles Edward Patterson | Acupuncturist | 5215 N Paulina St, Chicago, IL 60640-2017 | 2008-10-21 |
| 1114108685 | Charles Clint Patterson | Psychologist | 22 Georgeff Rd, Rolling Hills, CA 90274-5269 | 2007-11-26 |
| 1841252202 | Charles W Patterson | Psychiatry & Neurology | 24261 Rowel Ct, Tehachapi, CA 93561-7003 | 2006-04-03 |
| 1225010978 | Charles Woodfin Patterson | Anesthesiology | 400 E 10th St, Anniston, AL 36207-4716 | 2005-11-17 |
| 1376144071 | Charles Ryan Patterson | Social Worker | 9666 Olive Blvd, Suite 400, Saint Louis, MO 63132-3025 | 2020-11-08 |
| 1235635640 | Charles Patterson Jr. | Counselor | 1401 S 4th St, Philadelphia, PA 19147-5948 | 2018-04-04 |
| 1992067417 | Charles Howard Patterson Sr. | Veterinarian | 516 Washington St, Hanover, MA 02339-2348 | 2012-06-11 |
| 1659455244 | Charles Patterson | Psychiatry & Neurology | 1200 N State St, Los Angeles, CA 90033-1029 | 2006-10-24 |
| Street Address |
2876 N PINAL AVE STE 4 |
| City | CASA GRANDE |
| State | AZ |
| Zip Code | 85122-7944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568071629 | Jacob Dahm | Dentist | 2876 N Pinal Ave Ste 4, Casa Grande, AZ 85122-7944 | 2020-07-24 |
| 1780226464 | Villago Dentistry LLC | Dentist | 2876 N Pinal Ave Ste 4, Casa Grande, AZ 85122-7944 | 2019-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043857097 | Karen M Garcia | Registered Nurse | 2631 N Brown Avenue, Casa Grande, AZ 85122 | 2019-12-09 |
| 1063060291 | Martha Bollin | Registered Nurse | 2631 N. Brown Ave., Casa Grande, AZ 85122 | 2019-08-30 |
| 1841846920 | Banner Imaging Services LLC | Radiology | 1828 E. Florence Blvd Bldg B Ste 118 & 128, Suite 118 and 128, Casa Grande, AZ 85122 | 2019-08-14 |
| 1629532692 | Kirk Lee Mackley | Physical Therapist | Vibrant Care, 1355 E Florence Blvd #137, Casa Grande, AZ 85122 | 2019-01-24 |
| 1205307436 | Natalie T Trujillo | Physician Assistant | 301 E Cottonwood Ln Ste 1&2, Casa Grande, AZ 85122 | 2018-12-16 |
| 1710455860 | Community Intervention Associates, Inc | Clinic/Center | 1667 N. Trekell Rd, Suite 101 & 102, Casa Grande, AZ 85122 | 2018-11-07 |
| 1245728302 | Jenkins Chiropractic LLC | Chiropractor | 1891 N Trekell Rd Ste 2, Casa Grande, AZ 85122 | 2018-04-24 |
| 1497242408 | Kelly Winnett | Naturopath | 1415 N Trekell Rd Ste 102, Casa Grande, AZ 85122 | 2018-04-16 |
| 1851895783 | Michael Brubaker Counseling | Community/Behavioral Health | 1927 N. Trekell Rd, Ste D, Casa Grande, AZ 85122 | 2018-03-23 |
| 1770095317 | Walmart Stores Inc. | Pharmacy | 1741 E. Florence Blvd, Casa Grande, AZ 85122 | 2017-11-03 |
| Find all providers in zip 85122 | ||||
| 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 |
| 1437392248 | Promenade Smiles, LLP | Dentist | 808 N Mission Pkwy, Casa Grande, AZ 85194-8412 | 2009-04-08 |
| 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 |
| Find all providers in CASA GRANDE | ||||
| City | CASA GRANDE |
| Zip Code | 85122 |
Please comment or provide details below to improve the information on DR. CHARLES WALTER PATTERSON.
| 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.