FULCHER DENTAL PLC (NPI# 1649601014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649601014 |
| Entity Type | Organization |
| Organization Name | FULCHER DENTAL PLC |
| Other Organization Name | TOWN SQAURE DENTAL |
| Practice Address |
1166 S Gilbert Rd Ste 117 Gilbert AZ 85296-3462 |
| Practice Telephone | 4808888095 |
| Practice Fax Number | 4808887222 |
| Mailing Telephone | 4808888095 |
| Mailing Fax Number | 4808887222 |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2013-12-10 |
| Authorized Official Name | MRS. KIMBERLY MACK (OWNER) |
| Authorized Official Telephone | 4808888095 |
| Authorized Official Credential | RDH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D07800 | AZ | Dental Providers |
| Other Name | Type Code |
|---|---|
| Town Sqaure Dental | Doing Business As Name - Organization |
| Street Address |
1166 S GILBERT RD STE 117 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85296-3462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881007565 | Jeremy Diquattro | Dentist | 1166 S Gilbert Rd Ste 117, Gilbert, AZ 85296-3462 | 2014-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124625793 | Gilbert Crossroads Kids' Dentists and Orthodontics, LLP | Dentist | 835 S. Gilbert Rd, Suite 104, Gilbert, AZ 85296 | 2020-10-06 |
| 1306455969 | Calm Care Living | Community/Behavioral Health | 1525 S Higley Rd, #104-6769, Gilbert, AZ 85296 | 2020-07-29 |
| 1366080970 | Hannah Golladay | Behavior Technician | 1166 S Gilbert Road, Suite 106, Mesa, AZ 85296 | 2019-12-13 |
| 1194284729 | Kege Health, LLC | Nurse Practitioner | 1206 E Warner Rd Ste 101f, Gilbert, AZ 85296 | 2019-03-13 |
| 1841757762 | Windhorse Counseling | Counselor | 1166 E Warner Road, Suite 203, Gilbert, AZ 85296 | 2019-02-27 |
| 1417424284 | Ashton N Wright | Behavior Technician | 1166 E Gilbert Rd, #106, Gilbert, AZ 85296 | 2018-10-30 |
| 1346717246 | Robison Orthodontics LLC | Dentist | 1355 S Higley Rd # 105, Gilbert, AZ 85296 | 2018-10-29 |
| 1518441831 | Kara Lyn Holyoak | Physician Assistant | 1359 S. Porter St., Gilbert, AZ 85296 | 2018-09-21 |
| 1225519119 | Jennifer Anne Goodman | Specialist/Technologist | 70 S Val Vista Dr A3, Gilbert, AZ 85296 | 2018-08-28 |
| 1437642329 | Greta Shumway | Counselor | 690 E. Warner Road, #115, Gilbert, AZ 85296 | 2018-06-14 |
| Find all providers in zip 85296 | ||||
| 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 |
|---|---|---|---|---|
| 1396362745 | Tracy Gerona | Dentist | 2885 E Weather Vane Rd, Gilbert, AZ 85296-9447 | 2020-07-01 |
| 1194363069 | Precision Dental Center Pllc | Dentist | 3885 S Val Vista Dr Ste 106, Gilbert, AZ 85297-7314 | 2019-12-11 |
| 1659863975 | Jonathan J Zuniga | Dentist | 33 N Lindsay Rd Ste 101, Gilbert, AZ 85234-5808 | 2018-06-01 |
| 1285172551 | Premier Family Dental Holdings LLC | Dentist | 3050 E Chandler Heights Rd, Ste 105, Gilbert, AZ 85290 | 2017-02-07 |
| 1710435490 | Daniel Masters | Dentist | 875 N Greenfield Rd Ste 114, Gilbert, AZ 85234-5044 | 2016-09-12 |
| 1629426507 | Progressive Sleep & Wellness Pllc | Dentist | 3303 E Baseline Rd Ste 105, Gilbert, AZ 85234-2739 | 2016-06-01 |
| 1861860488 | Gilbert Dental Professionals | Dentist | 110 S Val Vista Dr, Suite B-7, Gilbert, AZ 85296-1373 | 2015-09-14 |
| 1881076370 | Brodie Cook | Dentist | 3558 E Windsor Dr, Gilbert, AZ 85296-7397 | 2015-06-22 |
| 1427439405 | Adam Proctor | Dentist | 3338 E Sheffield Rd, Gilbert, AZ 85296-7384 | 2015-06-15 |
| 1386084689 | Quang Le | Dentist | 690 E Warner Rd Ste 126, Gilbert, AZ 85296-3057 | 2013-07-01 |
| Find all providers in GILBERT | ||||
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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.