CORE FAMILY DENTAL (NPI# 1689283814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689283814 |
| Entity Type | Organization |
| Organization Name | CORE FAMILY DENTAL |
| Practice Address |
13460 N 94th Dr Ste K4 Peoria AZ 85381-4249 |
| Practice Telephone | 2322310366 |
| Mailing Telephone | 2322310366 |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2020-07-28 |
| Authorized Official Name | MARVIN BLANE JACKSON (OWNER) |
| Authorized Official Telephone | 4356372100 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 586868 | 05 |
| Street Address |
13460 N 94TH DR STE K4 |
| City | PEORIA |
| State | AZ |
| Zip Code | 85381-4249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013530187 | Core Family Dental, LLC | Dentist | 13460 N 94th Dr Ste K4, Peoria, AZ 85381-4249 | 2020-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712122 | Vicki L Grenier | Registered Nurse | 7558 W. Thunderbird Rd. Ste 1-507, Peoria, AZ 85381 | 2020-08-26 |
| 1568934107 | Earthwalk Wellness Group, LLC | Social Worker | 14050 North 83rd Avenue, Suite 290, Peoria, AZ 85381 | 2018-12-20 |
| 1316412059 | John & Biljana Feeley Dba J & B Assisted Living IIi Inc | Community Based Residential Treatment Facility, Mental Illness | 7331 W Sweetwater Avenue, Peoria, AZ 85381 | 2018-10-09 |
| 1467958611 | Arizona Community Pharmacy | Pharmacy | 14100 N 83rd Ave Ste 160, Peoria, AZ 85381 | 2018-04-04 |
| 1083112106 | Marissa Lynn Desjardins | Physical Therapist | 8240 W. Cactus Rd. Oakeson Physical Therapy, Peoria, AZ 85381 | 2018-01-23 |
| 1235651399 | Power Back Batteries LLC | Durable Medical Equipment & Medical Supplies | 9054 West Lisbon Ave, Peoria, AZ 85381 | 2017-07-11 |
| 1457897027 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 7524 W. Alexandria Way, Peoria, AZ 85381 | 2017-01-06 |
| 1386023448 | Scott Boone | Registered Nurse | 7715 W Watson Ln, Peoria, AZ 85381 | 2015-05-22 |
| 1881084838 | Pinnacle Women's Center LLC | Obstetrics & Gynecology | 15396 N 83rd Ave Ste F100, Peoria, AZ 85381 | 2015-01-29 |
| 1245637081 | Kathi Locke | Counselor | 13460 N. 94th Drive, Suite J2, Peoria, AZ 85381 | 2014-11-21 |
| Find all providers in zip 85381 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912520347 | Dr. Reese Turner, Dds, PC | Clinic/Center | 9059 W Lake Pleasant Pkwy Ste A100, Peoria, AZ 85382-8393 | 2020-05-20 |
| 1386280840 | Tru Dental LLC | Clinic/Center | 8325 W. Happy Valley Rd, Building 1 Suite 100, Peoria, AZ 85383-8538 | 2019-11-20 |
| 1609343987 | Dental Excellence Pllc | Clinic/Center | 20403 N Lake Pleasant Rd Ste 121, Peoria, AZ 85382-9707 | 2018-10-25 |
| 1417445099 | Cooperman Family Dentistry Pllc | Clinic/Center | 25101 N Lake Pleasant Pkwy # B-1335, Peoria, AZ 85383-1386 | 2018-04-29 |
| 1992202139 | Peoria Dental LLC | Clinic/Center | 7417 N Knoxville Ave, Peoria, IL 61614-2019 | 2018-04-12 |
| 1598262917 | A Tender Dental Care V LLC | Clinic/Center | 25355 N Lake Pleasant Pkwy Unit 103, Peoria, AZ 85383-1504 | 2018-04-11 |
| 1578987699 | Cactus Dental Care LLC | Clinic/Center | 7440 W Cactus Rd Ste A18, Peoria, AZ 85381-9534 | 2014-02-10 |
| 1588897789 | Rio Vista Dental Arts Pllc | Clinic/Center | 9145 W Thunderbird Rd, H-105, Peoria, AZ 85381-4820 | 2009-09-03 |
| 1700490992 | Tooth Corps Pllc | Clinic/Center | 13660 N 94th Dr Ste B1, Peoria, AZ 85381-4848 | 2020-09-03 |
| 1851909345 | Peoria Dental Care | Clinic/Center | 4517 N Rockwood Dr, Peoria, IL 61615-3841 | 2020-07-21 |
| Find all providers in PEORIA | ||||
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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.