MESA DENTAL GROUP LLC (NPI# 1659462372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659462372 |
| Entity Type | Organization |
| Organization Name | MESA DENTAL GROUP LLC |
| Other Organization Name | GILBERT ROAD DENTAL CARE |
| Practice Address |
2017 E Adobe St Suite 6 Mesa AZ 85213-6740 |
| Practice Telephone | 4806497200 |
| Practice Fax Number | 4806497219 |
| Mailing Telephone | 4806497200 |
| Mailing Fax Number | 4806497219 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. BARTEL VANOOSTENDORP V (DENTIST) |
| Authorized Official Telephone | 4806497200 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D5677 | AZ | Dental Providers |
| Other Name | Type Code |
|---|---|
| Gilbert Road Dental Care | Doing Business As Name - Organization |
| Street Address |
2017 E ADOBE ST SUITE 6 |
| City | MESA |
| State | AZ |
| Zip Code | 85213-6740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851830301 | Beech Medical Group, Inc. | Case Management | 2017 E Adobe St, Mesa, AZ 85213-6740 | 2017-02-16 |
| 1821448572 | Beech Health Support LLC | In Home Supportive Care | 2017 E Adobe St, Mesa, AZ 85213-6740 | 2016-06-14 |
| 1376999243 | Jayme Ambrose | Registered Nurse | 2017 E Adobe St, Mesa, AZ 85213-6740 | 2016-05-10 |
| 1346678935 | Adobe Care and Wellness LLC | Case Management | 2017 E Adobe St, Mesa, AZ 85213-6740 | 2013-10-17 |
| 1336347624 | Brian A. Christopherson Dds, Pllc | Clinic/Center | 2017 E Adobe St, Mesa, AZ 85213-6740 | 2007-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861041733 | Belinda Wiens | Counselor | 2135 E University Dr., Suite 116, Mesa, AZ 85213 | 2019-09-04 |
| 1679099402 | Roxanne Nicole Greene | Physical Therapist | 2642 E Fairfield St, Mesa, AZ 85213 | 2017-08-14 |
| 1861921405 | Cameron Kastl | Dentist | 820 E University Dr, Mesa, AZ 85213 | 2017-06-07 |
| 1033667860 | Ricardo Helaman Perez | Dentist | 459 North Val Vista Drive, Mesa, AZ 85213 | 2016-09-21 |
| 1902221039 | The U-turn Foundation | Psychiatric Residential Treatment Facility | 2941 E Contessa St., Mesa, AZ 85213 | 2014-02-26 |
| 1720354194 | Roberta Lynn Ray | Registered Nurse | 824 N Gentry St., Mesa, AZ 85213 | 2012-03-29 |
| 1639483647 | William Lawrence Hull IIi | Dentist | 2855 E Brown Rd Ste 5, Mesa, AZ 85213 | 2010-08-02 |
| 1619299286 | Arizona Internal Medicine Associates LLC | Internal Medicine | 3435 E. Kael St, Mesa, AZ 85213 | 2010-02-23 |
| 1568691863 | Kathleen Ann Ruffin | Dental Hygienist | 2855 E. Brown Rd, Suite 15, Mesa, AZ 85213 | 2009-07-08 |
| 1356584890 | Sw Sports Medicine & Orthopedic Surgery | Orthopaedic Surgery | 2835 E. Brown Rd., Ste. 101, Mesa, AZ 85213 | 2009-04-14 |
| Find all providers in zip 85213 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174149157 | Jordan Sunderhaus | Dentist | 1244 N Greenfield Rd Ste 103, Mesa, AZ 85205-4078 | 2020-06-25 |
| 1821613134 | Russell D York | Dentist | 1928 E Main St, Mesa, AZ 85203-9024 | 2020-06-11 |
| 1588200265 | Signal Butte Kids Dentistry and Orthodontics, LLP | Dentist | 10664 E. Point Twenty Two Blvd, Mesa, AZ 85212 | 2019-11-18 |
| 1184268310 | Ocotillo Sleep Solutions LLC | Dentist | 2150 S Dobson Rd Ste 3, Mesa, AZ 85202-6487 | 2019-10-31 |
| 1457906919 | Yana V Gerhardt | Dentist | 1822 S 39th St Unit 35, Mesa, AZ 85206-3828 | 2019-08-01 |
| 1538725387 | Dentists of Mesa, LLP | Dentist | 4401 E Mckellips Rd Ste 102, Mesa, AZ 85215-2558 | 2019-05-17 |
| 1417413063 | Peter Vu | Dentist | 5350 E Hilton Ave, Mesa, AZ 85206-5514 | 2019-02-19 |
| 1235604166 | Implant & Reconstructive Dentistry Pllc | Dentist | 1423 S Higley Rd Ste 117, Mesa, AZ 85206-3450 | 2018-10-07 |
| 1316423353 | Amberwood Dental Partners | Dentist | 840 E Mckellips Rd Ste 101, Mesa, AZ 85203-9654 | 2018-07-12 |
| 1386153823 | Angela S Wilson | Dentist | 1245 E Southern Ave Ste 12, Mesa, AZ 85204-5138 | 2017-09-27 |
| Find all providers in MESA | ||||
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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.