ARIZONA DENTAL PROFESSIONALS, P.C. (NPI# 1578966966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578966966 |
| Entity Type | Organization |
| Organization Name | ARIZONA DENTAL PROFESSIONALS, P.C. |
| Other Organization Name | DENTAL VILLAGE - SIERRA VISTA |
| Practice Address |
400 N Hwy 90 Byp Sierra Vista AZ 85635-2292 |
| Practice Telephone | 5204592200 |
| Mailing Telephone | 5204592200 |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2014-09-30 |
| Authorized Official Name | KIM WILSON (CRED SUPERVISOR) |
| Authorized Official Telephone | 2175405170 |
| Is Organization Subpart | Y |
| Parent Organization Name | ARIZONA DENTAL PROFESSIONALS, P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Dental Village - Sierra Vista | Doing Business As Name - Organization |
| 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 |
| 1558996538 | Arizona Dental Professionals, P.C. | Dentist | 5355 E Carefree Hwy Ste 102, Carefree, AZ 85331 | 2020-03-10 |
| 1093346033 | Arizona Dental Professionals, P.C. | Dentist | 20311 S Ellsworth Rd Ste 101, Queen Creek, AZ 85142 | 2020-01-29 |
| 1851933857 | Arizona Dental Professionals, P.C. | Dentist | 19221 N R H Johnson Blvd, Sun City West, AZ 85375-4487 | 2019-10-10 |
| 1578116679 | Arizona Dental Professionals, P.C. | Dentist | 10749 E Southern Ave, Mesa, AZ 85209-3885 | 2019-07-18 |
| 1407311244 | Arizona Dental Professionals, P.C. | Dentist | 44565 W Edison Rd Ste A, Maricopa, AZ 85138-6401 | 2019-02-06 |
| 1487134789 | Arizona Dental Professionals, P.C. | Dentist | 3218 N Recker Rd, Mesa, AZ 85215 | 2018-08-16 |
| 1679078844 | Arizona Dental Professionals, P.C. | Dentist | 16581 W Bell Rd Ste 108, Surprise, AZ 85374 | 2018-03-28 |
| 1659875698 | Arizona Dental Professionals, P.C. | Dentist | 4120 N 197th Ave, Buckeye, AZ 85396 | 2018-03-23 |
| Street Address |
400 N HWY 90 BYP |
| City | SIERRA VISTA |
| State | AZ |
| Zip Code | 85635-2292 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134740640 | Taylor Anne Phelps | Student in an Organized Health Care Education/Training Program | Haven of Sierra Vista LLC, 660 Coronado Drive, Sierra Vista, AZ 85635 | 2020-05-06 |
| 1568001543 | Gp Medicine, Pllc | Family Medicine | 1800 E Wilcox Drive, Sierra Vista, AZ 85635 | 2019-12-23 |
| 1518515212 | Canyon Vista Dental | Dentist | 1993 S Frontage Road, Suite 208, Sierra Vista, AZ 85635 | 2019-08-27 |
| 1225697402 | Kristine Vincent Cruz Angeles | Dentist | 115 Calle Poral, Sierra Vista, AZ 85635 | 2019-06-11 |
| 1700397411 | Vivian Ryu | Social Worker | 2300 E Fry Blvd, #3822, Sierra Vista, AZ 85635 | 2017-10-20 |
| 1750806758 | Rosemary Nduta Kagwanja | Technician | 425 Bernini Avenue, N/a, Sierra Vista, AZ 85635 | 2017-08-10 |
| 1093245789 | Akdhc, LLC | Internal Medicine | 5555 Mesa Verde Dr, Suite 100, Sierra Vista, AZ 85635 | 2017-06-14 |
| 1609304633 | Vincent Guarino | Emergency Medicine | 5700 E, Az-90, Sierra Vista, AZ 85635 | 2017-06-04 |
| 1629506811 | Andrew Tang | Student in an Organized Health Care Education/Training Program | 5700 Arizona 90, Sierra Vista, AZ 85635 | 2017-06-01 |
| 1194259382 | Walik Hargett | Contractor | 800 N. Lenzner Ave Apt 776b, Sierra Vista, AZ 85635 | 2017-04-14 |
| Find all providers in zip 85635 | ||||
| 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 |
|---|---|---|---|---|
| 1891313300 | Travis Shore | Dentist | 1993 Frontage Rd Ste 208, Sierra Vista, AZ 85635-4695 | 2020-07-10 |
| 1518515212 | Canyon Vista Dental | Dentist | 1993 S Frontage Road, Suite 208, Sierra Vista, AZ 85635 | 2019-08-27 |
| 1225697402 | Kristine Vincent Cruz Angeles | Dentist | 115 Calle Poral, Sierra Vista, AZ 85635 | 2019-06-11 |
| 1922459692 | Carlos Leonel Benavides | Dentist | 400 N Hwy 90 Byp Ste C2, Sierra Vista, AZ 85635-2293 | 2016-06-23 |
| 1619236999 | 1st Dental Care, LLC | Dentist | 1150 S. Highway 92, Suite A, Sierra Vista, AZ 85635 | 2012-05-08 |
| 1821386756 | Andrew Max Noble | Dentist | 3511 Canyon De Flores Ste B, Sierra Vista, AZ 85650-5379 | 2011-07-12 |
| 1881803468 | James B. Leavitt D.m.d., P.C. | Dentist | 701 E Wilcox Dr, Sierra Vista, AZ 85635-2538 | 2007-05-21 |
| 1922178870 | Jared W Haws | Dentist | 4990 E Mediterranean Dr., Suite A, Sierra Vista, AZ 85635 | 2006-11-08 |
| 1073683934 | Michael A Leavitt | Dentist | 4990 E. Mediterranean Dr., Suite A, Sierra Vista, AZ 85635 | 2006-11-08 |
| 1215016803 | Bindi Patel Dental, P.C. | Dentist | 126, South Coronado Drive, Suite A, Sierra Vista, AZ 85635 | 2006-11-03 |
| Find all providers in SIERRA VISTA | ||||
| City | SIERRA VISTA |
| Zip Code | 85635 |
Please comment or provide details below to improve the information on ARIZONA DENTAL PROFESSIONALS, P.C..
| 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.