PERFECT TEETH - WADDELL P.C. (NPI# 1588785729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588785729 |
| Entity Type | Organization |
| Organization Name | PERFECT TEETH - WADDELL P.C. |
| Other Organization Name | PERFECT TEETH - WADDELL P.C. |
| Practice Address |
13856 W Waddell Rd Suite 102 Surprise AZ 85379-3801 |
| Practice Telephone | 6235448353 |
| Practice Fax Number | 6235448309 |
| Mailing Telephone | 6235448353 |
| Mailing Fax Number | 6235448309 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LAURIE SUMMERS (CREDENTIALING) |
| Authorized Official Telephone | 3032856098 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
6097 | CO | Dental Providers |
| Other Name | Type Code |
|---|---|
| Perfect Teeth - Waddell P.C. | Doing Business As Name - Organization |
| Street Address |
13856 W WADDELL RD SUITE 102 |
| City | SURPRISE |
| State | AZ |
| Zip Code | 85379-3801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730637844 | Andre Juarez | Optometrist | 13856 W Waddell Rd, Suite 103, Surprise, AZ 85379-3801 | 2016-09-18 |
| 1154688760 | Nationwide Vision Center, LLC | Technician/Technologist | 13856 W Waddell Rd, Suite 103, Surprise, AZ 85379-3801 | 2012-04-19 |
| 1285819185 | Michael Wassef | Dentist | 13856 W Waddell Rd, Suite 102, Surprise, AZ 85379-3801 | 2008-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841818887 | Arizona Heartlands Home Care, LLC | Adult Companion | 14626 W. Wethersfield Rd, Surprise, AZ 85379 | 2020-07-07 |
| 1740832351 | Amanda Deangelis | Specialist/Technologist | 14064 W. Poinsettia Dr., Surprise, AZ 85379 | 2019-07-13 |
| 1720550767 | Anastasia Assisted Living Home LLC | Assisted Living Facility | 12805 N 145th Ave, Surprise, AZ 85379 | 2018-12-31 |
| 1306355821 | National Vision, Inc. | Technician/Technologist | Loop 303, Surprise, AZ 85379 | 2017-09-27 |
| 1306365770 | Christopher Albert Gard | Nurse Practitioner | 15643 W Cameron Dr, Surprise, AZ 85379 | 2017-09-16 |
| 1336667096 | Leon Quoc Lai | Pharmacist | 13723 Litchfield Rd, Surprise, AZ 85379 | 2017-09-01 |
| 1134664451 | Princess Valentin | Nurse Practitioner | 15400 W Waddell Road, Surprise, AZ 85379 | 2016-12-21 |
| 1871952408 | James Care Associates LLC | In Home Supportive Care | 12720 N. 149th Lane, Surprise, AZ 85379 | 2016-02-10 |
| 1669861688 | Todd Cleland | Physical Therapist | 15384 W. Dahlia Drive, Surprise, AZ 85379 | 2015-01-14 |
| 1326442187 | Sarpotdar Orthodontics, Pllc | Dentist | 13775 N. Litchfield Rd, Suite 108, Surprise, AZ 85379 | 2014-10-22 |
| Find all providers in zip 85379 | ||||
| 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 |
|---|---|---|---|---|
| 1679171151 | Diana Kim | Dentist | 15128 W Bell Rd Ste 12, Surprise, AZ 85374-2451 | 2020-10-15 |
| 1033692645 | Robyn Call Dmd, Pllc | Dentist | 16944 W Bell Rd Ste 601b, Surprise, AZ 85374-8950 | 2018-09-10 |
| 1104310648 | Austin Daniel Lau | Dentist | 17018 W Bell Rd, Surprise, AZ 85374 | 2018-06-19 |
| 1679078844 | Arizona Dental Professionals, P.C. | Dentist | 16581 W Bell Rd Ste 108, Surprise, AZ 85374 | 2018-03-28 |
| 1215489141 | Martineau Dentistry | Dentist | 15341 W Waddell Rd, Suite B107, Surprise, AZ 85379-5169 | 2016-10-26 |
| 1710304654 | Abc Pediatric Dental Professional Corporation | Dentist | 16222 W Boca Raton Rd, Surprise, AZ 85379-5073 | 2014-03-27 |
| 1295165710 | Sunwest Dental Center Iv, LLC | Dentist | 14557 W Grand Ave, Suite 106, Surprise, AZ 85374-7104 | 2013-11-19 |
| 1194021170 | Canyon Modern Dentistry, LLP | Dentist | 17081 W Greenway Rd Ste 121, Surprise, AZ 85388-9612 | 2011-02-08 |
| 1023332418 | Desert Dentistry, Pllc | Dentist | 15033 W Bell Rd Ste 100, Surprise, AZ 85374-3260 | 2010-03-15 |
| 1740419811 | Spencer Updike | Dentist | 18775 N Reems Rd Ste 300c, Surprise, AZ 85374-8647 | 2009-07-09 |
| Find all providers in SURPRISE | ||||
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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.