DENTAL AND BRACES DYSART LLC (NPI# 1629676903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629676903 |
| Entity Type | Organization |
| Organization Name | DENTAL AND BRACES DYSART LLC |
| Practice Address |
1450 N Dysart Rd Ste A7 Avondale AZ 85323-1534 |
| Mailing Address |
1515 N Gilbert Rd Ste 107-131 Gilbert AZ 85234-2318 |
| Practice Telephone | 6234716962 |
| Practice Fax Number | 6027148203 |
| Mailing Telephone | 6029071501 |
| Mailing Fax Number | 6027148203 |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2020-10-09 |
| Authorized Official Name | ELIZABETH RAMOS (CREDENTIALING) |
| Authorized Official Telephone | 6027263221 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| DENTAL AND BRACES DYSART LLC SOMOSDENTAL | Former Legal Business Name - Organization |
| Street Address |
1450 N DYSART RD STE A7 |
| City | AVONDALE |
| State | AZ |
| Zip Code | 85323-1534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932663994 | Bridgewater Avondale Operations, LLC | Assisted Living Facility | 295 E Van Buren Street, Avondale, AZ 85323 | 2019-01-24 |
| 1104309152 | Carlos Sifuentes | Physical Therapist | 10750 W Mcdowell Rd., Ste. B-210, Avondale, AZ 85323 | 2018-09-14 |
| 1225534688 | Dayna Sue Kaepp | Registered Nurse | 3300 N. Santa Fe Trail, Avondale, AZ 85323 | 2018-04-04 |
| 1407376700 | Amanda Lynn Radcliffe | Nurse Practitioner | 824 N. 99th Ave Ste 108, Avondale, AZ 85323 | 2017-06-27 |
| 1093253361 | Aquatic-n-writing Rehad | Home Health | 12355 West Cocopah Street, Avondale, AZ 85323 | 2017-02-07 |
| 1750838348 | Annette A Alvarez | Specialist/Technologist | 295 W Western Avenue, Avondale, AZ 85323 | 2016-09-01 |
| 1649726886 | Michelle R Dotson | Contractor | 12115 W Van Buren St Apt 1924, Avondale, AZ 85323 | 2016-08-28 |
| 1619370756 | Amanda Mann | Physical Therapy Assistant | 12804 West Hildalgo, Avondale, AZ 85323 | 2014-10-03 |
| 1326459306 | Ma Caubalejo | Physical Therapist | 350 East La Canada Blvd, Avondale, AZ 85323 | 2014-05-13 |
| 1093139545 | Mark Salvador | Physical Therapy Assistant | 11722 W. Mountain View Dr., Avondale, AZ 85323 | 2014-02-04 |
| Find all providers in zip 85323 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649676206 | Dental Health and Healing | Clinic/Center | 307 Hillendale Rd, Avondale, PA 19311-9742 | 2014-11-10 |
| 1114240942 | New Concept Dental | Clinic/Center | 725 N Central Ave Ste 109, Avondale, AZ 85323-1659 | 2010-03-08 |
| 1598737660 | Protection Plus Dental Center Inc | Clinic/Center | 1430 N Central Ave, Avondale, AZ 85323-1305 | 2006-02-03 |
| 1689159592 | A Plus Dental, Plc | Clinic/Center | 235 W Western Ave Ste 7, Avondale, AZ 85323-1848 | 2018-09-26 |
| 1326554106 | Apple Tree Dentistry, LLC | Clinic/Center | 13048 W Rancho Santa Fe Blvd, 114, Avondale, AZ 85392 | 2017-12-15 |
| 1598138190 | Lux Avondale Inc. | Clinic/Center | 10320 W Mcdowell Rd, Bld A Suite 1001, Avondale, AZ 85392-4863 | 2015-11-04 |
| 1730427006 | Palo Verde Dentistry | Clinic/Center | 3400 N. Dysart Rd, Ste G125, Avondale, AZ 85392 | 2013-01-22 |
| 1083848006 | Personal Touch Dentistry, P.C. | Clinic/Center | 13065 W Mcdowell Rd, Suite B 112, Avondale, AZ 85392-6439 | 2009-05-05 |
| 1184843054 | Shun-yu Nieh D.d.s. P.C. | Clinic/Center | 10210 W Mcdowell Rd, Ste. #140, Avondale, AZ 85323-4842 | 2007-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063329 | Trombetta Dental Solutions | Clinic/Center | 13808 N Sandario Rd Ste 100, Marana, AZ 85653-8940 | 2020-11-06 |
| 1255946257 | Tatum Point Dentistry LLC | Clinic/Center | 4747 E Bell Rd Ste 15, Phoenix, AZ 85032-2301 | 2020-09-15 |
| 1003421009 | Solterra Dentistry LLC | Clinic/Center | 15255 N 40th St Ste 111, Phoenix, AZ 85032-4636 | 2020-09-15 |
| 1699389510 | Ocotillo Dental Associates LLC | Clinic/Center | 11259 S Frontage Rd Ste 103, Yuma, AZ 85367-7883 | 2020-09-08 |
| 1144832940 | Kingman Dental Professionals, LLC | Clinic/Center | 3775 N Stockton Hill Rd, Kingman, AZ 86409-3219 | 2020-08-21 |
| 1336751536 | Smile Nuvo | Clinic/Center | 2142 W Red Fox Rd, Phoenix, AZ 85085-5458 | 2020-08-19 |
| 1396354205 | Freedom Dental, Pllc | Clinic/Center | 6328 E Brown Rd Ste 105, Mesa, AZ 85205-4841 | 2020-07-27 |
| 1649888629 | Whitney A Sebree, Dmd Pllc | Clinic/Center | 15331 W Bell Rd Ste 204, Surprise, AZ 85374-4104 | 2020-07-16 |
| 1912520347 | Dr. Reese Turner, Dds, PC | Clinic/Center | 9059 W Lake Pleasant Pkwy Ste A100, Peoria, AZ 85382-8393 | 2020-05-20 |
| 1942821301 | Family and Kids Dental LLC | Clinic/Center | 2610 W Baseline Rd Ste 120, Phoenix, AZ 85041-6400 | 2020-04-27 |
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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.