DR. REZA ABEDI (NPI# 1578659736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578659736 |
Entity Type | Individual |
Full Name | DR. REZA ABEDI |
Credential | DDS |
Practice Address |
879 N Plaza Dr E014 Apache Junction AZ 85220-4152 |
Mailing Address |
879 N Plaza Dr E101 Apache Junction AZ 85220-4152 |
Practice Telephone | 4802885955 |
Practice Fax Number | 4802884345 |
Mailing Telephone | 4802885955 |
Mailing Fax Number | 4802884345 |
Enumeration Date | 2006-10-05 |
Last Update Date | 2007-07-09 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
AZ | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 640658 | 05 |
Street Address |
879 N PLAZA DR E014 |
City | APACHE JUNCTION |
State | AZ |
Zip Code | 85220-4152 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174726178 | Smmhc, Inc | Community/Behavioral Health | 879 N Plaza Dr, Suite A, Apache Junction, AZ 85220-4152 | 2007-06-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144598996 | Amelia Shah | Pharmacist | 185 W Apache Trail, Apache Junction, AZ 85220 | 2011-12-08 |
1528280153 | Archish Arvind Patel | Pharmacist | 185 W. Apache Tr., Apache Junction, AZ 85220 | 2007-05-03 |
1629298476 | Jill Diane Gottschalk | Pharmacist | Fry's Pharmacy, 185 W Apache Trail, Apache Junction, AZ 85220 | 2007-04-26 |
1194847814 | Assisted Living Concepts Inc | Assisted Living Facility | 675 West Broadway, Apache Junction, AZ 85220 | 2007-04-04 |
1467517177 | Lora A Andrews | Physical Therapist | 10241 E Apache Trail, Apache Junction, AZ 85220 | 2006-12-22 |
1043372097 | Jill Elizabeth Russo | Technician | 2017 S Thunderbird Dr, Apache Junction, AZ 85220 | 2006-12-15 |
1053490029 | Kenneth K Leung | Internal Medicine | 2066 W Apache Trail #110, Apache Junction, AZ 85220 | 2006-11-02 |
1508831025 | Paula Ann Crinklaw | Nurse Practitioner | 1485 W Frontier St, Apache Junction, AZ 85220 | 2006-02-19 |
1033433826 | Innovative Health Partners LLC | Hospitalist | 2050 W Southern Ave, Apache Junction, AZ 85220 | 2010-03-23 |
1194048660 | Innovative Inpatient Services PC | Hospitalist | 2050 W Southern Ave, Apache Junction, AZ 85220 | 2010-03-11 |
Find all providers in zip 85220 |
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 |
---|---|---|---|---|
1821268475 | Affordable Dental Care LLC | Dentist | 10839 E Apache Trl, Apache Junction, AZ 85220-3414 | 2008-03-10 |
1275654808 | Cvd Care LLC | Dentist | 110 S Idaho Rd Ste 260, Apache Junction, AZ 85119-2379 | 2007-04-02 |
1144307281 | Dental One, Inc. | Dentist | 3061 W Apache Trl, Suite 1, Apache Junction, AZ 85220-3623 | 2006-11-01 |
1235127325 | Jennifer Fang | Dentist | 2080 W Southern Ave, Ste. A-3, Apache Junction, AZ 85220-7455 | 2005-10-12 |
1679129316 | Jillian Renee Kersten | Dentist | 95 S Idaho Rd Ste 100, Apache Junction, AZ 85119-0006 | 2019-08-16 |
1114230125 | Michael Grant Winkelman | Dentist | 3061 W Apache Trl, 1, Apache Junction, AZ 85120-3623 | 2010-07-19 |
1124242151 | Lowell Arbuckle | Dentist | 3061 W Apache Trl, #1, Apache Junction, AZ 85220-3623 | 2007-04-12 |
1376660845 | John Arthur Bigler | Dentist | 110 S Idaho Rd, 260, Apache Junction, AZ 85219-2379 | 2007-03-22 |
1558456186 | Taylor Yong Kim | Dentist | 2080 W Southern Ave, A-3, Apache Junction, AZ 85120-7455 | 2006-10-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699376616 | Arizona Dental Professionals, P.C. | Dentist | 37591 N Gantzel Rd, San Tan Valley, AZ 85140-7376 | 2020-11-05 |
1851992879 | Arizona Dental Professionals, P.C. | Dentist | 1177 S Watson Rd Ste 107, Buckeye, AZ 85326-3465 | 2020-11-05 |
1609475060 | Happy Molar Dental LLC | Dentist | 67 N Dobson Rd Ste A-104, Mesa, AZ 85201-6822 | 2020-10-18 |
1679171151 | Diana Kim | Dentist | 15128 W Bell Rd Ste 12, Surprise, AZ 85374-2451 | 2020-10-15 |
1366040057 | Hdp Casa Grande Dental LLC | Dentist | 1968 N Peart Rd Ste 22, Casa Grande, AZ 85122-2497 | 2020-10-14 |
1871191197 | Dentalpros, LLC | Dentist | 225 E Valencia Rd Ste 135, Tucson, AZ 85706-6866 | 2020-10-09 |
1457958928 | Eesha Katarya | Dentist | 1060 S Harrison Rd Ste 110, Tucson, AZ 85748-6603 | 2020-10-07 |
1063019669 | Sona Dds PC | Dentist | 10450 E. Riggs Rd. #118, Chandler, AZ 85248 | 2020-10-06 |
1598362105 | Sona Dds PC | Dentist | 995 E Ocotillo Rd Ste 3, Chandler, AZ 85249-3111 | 2020-10-06 |
1205441136 | Maryvale Dental Studio | Dentist | 7614 W Indian School Rd # 2, Phoenix, AZ 85033-3035 | 2020-09-08 |
Find all providers with the same taxonomy |
City | APACHE JUNCTION |
Zip Code | 85220 |
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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.