CHANDLER MODERN DENTISTRY AND ORTHODONTICS, LLP (NPI# 1700222916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700222916 |
| Entity Type | Organization |
| Organization Name | CHANDLER MODERN DENTISTRY AND ORTHODONTICS, LLP |
| Other Organization Name | CHANDLER MODERN DENTISTRY AND ORTHODONTICS |
| Practice Address |
2875 W Ray Rd Ste 16 Chandler AZ 85224-3619 |
| Mailing Address |
17000 Red Hill Ave Irvine CA 92614-5626 |
| Practice Telephone | 4807921543 |
| Practice Fax Number | 4807921544 |
| Mailing Telephone | 7148458890 |
| Mailing Fax Number | 7148458803 |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2013-05-14 |
| Authorized Official Name | DR. CARL C FAIRCHILD (OWNER) |
| Authorized Official Telephone | 4807921543 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Chandler Modern Dentistry and Orthodontics | Doing Business As Name - Organization |
| Street Address |
2875 W RAY RD STE 16 |
| City | CHANDLER |
| State | AZ |
| Zip Code | 85224-3619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902816531 | Ann M Bolar | Nurse Practitioner | 2875 W Ray Rd Ste 16, Chandler, AZ 85224-3619 | 2006-08-08 |
| 1508357443 | Marshall Stanley Klein | Dentist | 2875 W Ray Rd Ste 16, Chandler, AZ 85224-3619 | 2018-05-26 |
| 1649651613 | Jennifer L Wells | Dentist | 2875 W Ray Rd Ste 16, Chandler, AZ 85224-3619 | 2015-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245878859 | Optum Infusion Services 308, LLC | Durable Medical Equipment & Medical Supplies | 460 S. Benson Lane, Ste. 11-12, Chandler, AZ 85224 | 2019-12-13 |
| 1073172037 | Brennan Allen | Dentist | 610 N Alma School Rd Ste 4, Chandler, AZ 85224 | 2019-06-12 |
| 1518525237 | Rachel Kelly Mador-house | Genetic Counselor, MS | 685 & 695 S Dobson Rd, Chandler, AZ 85224 | 2019-05-29 |
| 1780249748 | Julia Solomon, Md | Obstetrics & Gynecology | 1725 West Frye Road, Suite 120, Chandler, AZ 85224 | 2019-05-06 |
| 1487118717 | Litonrx LLC | Pharmacy | 2080 N. Dobson Road, Suite 3, Chandler, AZ 85224 | 2019-01-31 |
| 1528556495 | Stone Med, LLC | Physical Medicine & Rehabilitation | 77 S Dobson Rd., Phoenix, AZ 85224 | 2018-04-26 |
| 1144739079 | Four Peaks Anesthesia Consultants, LLC | Anesthesiology | 1900 W Chandler Blvd Ste 15-257, Chandler, AZ 85224 | 2017-09-22 |
| 1275061350 | Whitney Carter | Behavioral Analyst | 3200 N Dobson Rd Ste F-1, Chandler, AZ 85224 | 2017-06-01 |
| 1528509171 | Angela M. Navarrete | Specialist/Technologist, Other | 1586 W Maggio Way Apt 2005, 2005, Chandler, AZ 85224 | 2017-03-15 |
| 1063958288 | Glover Family Medical, LLC | Clinic/Center | 901 S Alma School Rd, Apt. 20, Chandler, AZ 85224 | 2017-01-11 |
| Find all providers in zip 85224 | ||||
| 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 |
|---|---|---|---|---|
| 1063019669 | Sona Dds PC | Dentist | 10450 E. Riggs Rd. #118, Chandler, AZ 85248 | 2020-10-06 |
| 1598362105 | Sona Dds PC | Dentist | 995 E Ocotillo Rd Ste 3, Chandler, AZ 85249-3111 | 2020-10-06 |
| 1053925255 | Cactus Point Dental, Pllc | Dentist | 1300 N Mcclintock Dr Ste D10-11, Chandler, AZ 85226-7205 | 2020-09-04 |
| 1700401023 | Craig Standage | Dentist | 125 E Ray Rd, Chandler, AZ 85225-3339 | 2020-06-12 |
| 1073156709 | Martin Dental-airpark LLC | Dentist | 1775 E Queen Creek Rd Ste 130, Chandler, AZ 85286-2012 | 2019-10-25 |
| 1932754231 | Kourtney Rummel | Dentist | 3100 W Chandler Blvd Ste C, Chandler, AZ 85226-5222 | 2019-08-05 |
| 1912565177 | Novelly Family Dentistry & Orthodontics LLC | Dentist | 2171 E Pecos Rd Ste 1, Chandler, AZ 85225-6139 | 2019-06-03 |
| 1235693169 | Shumway Dental Care Pllc | Dentist | 3150 S. Gilbert Road Suite 1, Chandler, AZ 85286 | 2019-01-24 |
| 1407340854 | Ocotillo Lakes Dental Health | Dentist | 3200 S Alma School Rd Ste 103, Chandler, AZ 85248-3755 | 2018-06-19 |
| 1811489594 | Skyler Jay Smith | Dentist | 1992 E Ray Rd, Suite #2, Chandler, AZ 85225 | 2018-05-30 |
| Find all providers in CHANDLER | ||||
Please comment or provide details below to improve the information on CHANDLER MODERN DENTISTRY AND ORTHODONTICS, LLP.
| 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.