KS AZ-1, PC


Address: 3554 W Glendale Ave, Phoenix, AZ 85051-8358
Phone: 6022335665

KS AZ-1, PC (NPI# 1588759161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588759161
Entity Type Organization
Organization Name KS AZ-1, PC
Other Organization Name KOOL SMILES
Practice Address 3554 W Glendale Ave
Phoenix
AZ 85051-8358
Mailing Address 1090 Northchase Pkwy Se Ste 150
Marietta
GA 30067-6407
Practice Telephone 6022335665
Practice Fax Number 6022335666
Mailing Telephone 7709165028
Mailing Fax Number 6782477858
Enumeration Date 2006-10-03
Last Update Date 2014-12-17
Authorized Official Name DR. DALE MAYFIELD (PRESIDENT)
Authorized Official Telephone 7709165028
Authorized Official Credential DMD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
Dental Providers
N 1223E0200X Dentist
Specialization: Endodontics
Dental Providers
Y 1223G0001X Dentist
Specialization: General Practice
Dental Providers

Other Provider/Organization Names

Other Name Type Code
KOOL SMILES Doing Business As Name - Organization

Office Location

Street Address 3554 W GLENDALE AVE
City PHOENIX
State AZ
Zip Code 85051-8358

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770927410 General Dentistry 4 Kids-glendale Pllc Dentist 3554 W Glendale Ave, Phoenix, AZ 85051-8358 2013-04-24
1194856955 Timothy Manning Dentist 3554 W Glendale Ave, Phoenix, AZ 85051-8358 2007-03-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184250383 Jhajaira Elizabeth Cadenas Optometrist 3937 W Northview Ave, Phoenix, AZ 85051 2020-03-19
1083270854 Vision With Wings Voluntary or Charitable 9617 N. Metro Pkwy West, Ste. 1214, Phoeniz, AZ 85051 2019-05-16
1417510405 Applied Behavioral Interventions Pllc Dietitian, Registered 10000 N. 31st Avenue Ste. A107, Phoenix, AZ 85051 2019-04-16
1558832683 Liberty Home LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 9649 N 36th Ave, Phoenix, AZ 85051 2018-12-16
1518459080 Addie Robin Diroberts Counselor 10240 W. 31st Ave, Phoenix, AZ 85051 2018-05-31
1093239816 Jason Allan Parker Licensed Practical Nurse 3310 West Cheryl Drive, Phoenix, AZ 85051 2017-08-02
1588019145 Vanessa Eloise Hernandez Counselor 10000 N. 31st Ave., Applied Behavioral Interventions, Pllc, Phoenix, AZ 85051 2016-05-02
1912230178 Mozelle Barr Martin Counselor 3734 W. Vista Ave., Phoenix, AZ 85051 2009-09-04
1316184542 Tom Sowash Od & Associates PC Optometrist 9617 North Parkway West, #1160, Phoenix, AZ 85051 2009-01-09
1609026913 Luma Z Sayegh Dentist 7012 N 35th Ave, Suite 1, Phoenix, AZ 85051 2008-09-23
Find all providers in zip 85051

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205441136 Maryvale Dental Studio Dentist 7614 W Indian School Rd # 2, Phoenix, AZ 85033-3035 2020-09-08
1912516535 Ford Calaway Dentistry & Orthodontics LLC Dentist 2111 E Highland Ave Ste B, Phoenix, AZ 85016-4741 2020-07-29
1568085637 Family Dental Phoenix Dentist 2401 W Glendale Ave Ste 102, Phoenix, AZ 85021-7621 2020-05-24
1699308866 Signature Dental Partners LLC Dentist 410 N 44th St Ste 290, Phoenix, AZ 85008-7622 2020-02-17
1164062618 Smile Dentistry Pllc Dentist 1238 E. Chandler Blvd. #101, Phoenix, AZ 85048 2020-01-13
1942849146 Risas O.s. Dental Partners Az LLC Dentist 7442 W. Thomas Rd., Phoenix, AZ 85033 2020-01-06
1831748532 Benjamin Paul Chalom Baranes Dentist 5225 N 19th Ave Ste C, Phoenix, AZ 85015-2903 2019-09-05
1346800760 Sonoran Sky Family Dentistry Dentist 9515 West Camelback Road, Suite #120, Phoenix, AZ 85037 2019-06-18
1376101188 Bethany Helen Armendariz Dentist 4757 E Greenway Rd # Set108, Phoenix, AZ 85032-8513 2019-06-05
1851958300 Smile Dental Studio Dentist 10209 N 35th Ave Ste 129, Phoenix, AZ 85051-9619 2019-05-21
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Competitor

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City PHOENIX
Zip Code 85051

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Dataset Information

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.

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