DYNAMIC DENTAL HEALTH ASSOCIATES OF ARIZONA,PC (NPI# 1578993341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578993341 |
| Entity Type | Organization |
| Organization Name | DYNAMIC DENTAL HEALTH ASSOCIATES OF ARIZONA,PC |
| Other Organization Name | COPPER FAMILY DENTAL |
| Practice Address |
2510 E Hunt Hwy Ste. 28 San Tan Valley AZ 85143-5206 |
| Practice Telephone | 4804571677 |
| Practice Fax Number | 4804571680 |
| Mailing Telephone | 4804571677 |
| Mailing Fax Number | 4804571680 |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2018-12-19 |
| Authorized Official Name | HELEN LARAMEE (CREDENTIALING ADMIN) |
| Authorized Official Telephone | 7278008026 |
| Is Organization Subpart | Y |
| Parent Organization Name | DYNAMIC DENTAL HEALTH ASSOCIATES OF ARIZONA |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D06458 | AZ | Dental Providers |
| Other Name | Type Code |
|---|---|
| Copper Family Dental | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548691538 | Dynamic Dental Health Associates of Arizona,pc | Dentist | 8490 S Power Rd Ste 106, Gilbert, AZ 85297-8029 | 2013-12-02 |
| Street Address |
2510 E HUNT HWY STE. 28 |
| City | SAN TAN VALLEY |
| State | AZ |
| Zip Code | 85143-5206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023041282 | Darron R Mortenson | Dentist | 2510 E Hunt Hwy, #29, San Tan Valley, AZ 85143-5206 | 2006-07-09 |
| 1821459421 | Sun West Dental San Tan | Dentist | 2510 E Hunt Hwy, Suite #28, San Tan Valley, AZ 85143-5206 | 2016-03-10 |
| 1164749933 | Jeremy Daniel Skinner | Dentist | 2510 E Hunt Hwy, Suite #28, San Tan Valley, AZ 85143-5206 | 2010-05-03 |
| 1760715866 | Inbalance Pt LLC | Physical Therapist | 2510 E Hunt Hwy, San Tan Valley, AZ 85143-5206 | 2009-09-08 |
| 1295965044 | Ryan Vance | Physical Therapist | 2510 E Hunt Hwy, Suite 19, San Tan Valley, AZ 85143-5206 | 2009-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619457785 | Shalom Behavioral Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 35301 N Belgian Blue Ct, San Tan Valley, AZ 85143 | 2018-08-18 |
| 1336662337 | House of Dignity Assisted Living LLC | Assisted Living Facility | 214 W Danish Red Trl, San Tan Valley, AZ 85143 | 2017-07-21 |
| 1942744081 | Arizona Dental Professionals, PC | Dentist | 545 E Hunt Hwy, San Tan Valley, AZ 85143 | 2016-12-08 |
| 1285000786 | Jared Scott Snyder | Physical Therapy Assistant | 1745 E Hunt Hwy, Suite 103, San Tan Valley, AZ 85143 | 2015-08-19 |
| 1801289236 | Tiffany Battle | Behavioral Analyst | 2626 E. Manuel Road, San Tan Valley, AZ 85143 | 2015-03-10 |
| 1437541091 | Kelly Denise Griffin | Registered Nurse | 35945 N. Gary Rd, Suite 101, San Tan Valley, AZ 85143 | 2015-02-19 |
| 1528496031 | Casey Manzanedo | Licensed Practical Nurse | 35900 E Charbray Dr., San Tan Valley, AZ 85143 | 2013-10-18 |
| 1891136461 | Lisa Kay Scarpa | Home Health Aide | 925 E Canyon Rock Rd, San Tan Valley, AZ 85143 | 2013-07-11 |
| 1790969426 | Emilia Elizabeth Gomez Vieytez | Pediatrics | 22707 S. Ellsworth Rd H 101, Queen Creek, AZ 85143 | 2007-12-17 |
| 1205814621 | Janet F Rinehart | Family Medicine | 30046 N Varnum Rd, San Tan Valley, AZ 85143 | 2006-01-05 |
| Find all providers in zip 85143 | ||||
| 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 |
|---|---|---|---|---|
| 1699376616 | Arizona Dental Professionals, P.C. | Dentist | 37591 N Gantzel Rd, San Tan Valley, AZ 85140-7376 | 2020-11-05 |
| 1942744081 | Arizona Dental Professionals, PC | Dentist | 545 E Hunt Hwy, San Tan Valley, AZ 85143 | 2016-12-08 |
| 1821448036 | Balta Falls, LLC | Dentist | 3125 W Hunt Hwy, Unit 101, San Tan Valley, AZ 85142-9315 | 2016-06-18 |
| 1427442490 | Hill Family Dentistry PC | Dentist | 36359 N Gantzel Rd, Ste 101, San Tan Valley, AZ 85140-7331 | 2015-03-26 |
| 1134357577 | Josie Gemarie De Leon Oliva | Dentist | 3125 W Hunt Hwy Ste 101, San Tan Valley, AZ 85142-9331 | 2009-06-24 |
| 1851901581 | Becky Mcarthur | Dentist | 1714 W Hunt Hwy Ste 100, San Tan Valley, AZ 85143-5245 | 2020-08-06 |
| 1497371926 | Tyler Larkin | Dentist | 530 E Hunt Hwy Ste 123, San Tan Valley, AZ 85143-6583 | 2020-06-20 |
| 1194212175 | Bradley Joseph Pico | Dentist | 270 E Hunt Hwy Ste 14, San Tan Valley, AZ 85143-4964 | 2018-04-16 |
| 1821459421 | Sun West Dental San Tan | Dentist | 2510 E Hunt Hwy, Suite #28, San Tan Valley, AZ 85143-5206 | 2016-03-10 |
| 1164749933 | Jeremy Daniel Skinner | Dentist | 2510 E Hunt Hwy, Suite #28, San Tan Valley, AZ 85143-5206 | 2010-05-03 |
| Find all providers in SAN TAN VALLEY | ||||
| City | SAN TAN VALLEY |
| Zip Code | 85143 |
Please comment or provide details below to improve the information on DYNAMIC DENTAL HEALTH ASSOCIATES OF ARIZONA,PC.
| 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.