DR. SOLOMON T WOLDESILASSIE (NPI# 1710095799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710095799 |
| Entity Type | Individual |
| Full Name | DR. SOLOMON T WOLDESILASSIE |
| Credential | DDS |
| Practice Address |
26224 N Tatum Blvd Suit # 10 Phoenix AZ 85050-7500 |
| Practice Telephone | 4805634173 |
| Practice Fax Number | 4805635019 |
| Mailing Telephone | 4805634173 |
| Mailing Fax Number | 4805635019 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 5068 | AZ | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | BCBS OF AZ | AZ0499860 | 01 |
| AZ | UNITED CONCORDIA | 700534 | 01 |
| AZ | MERCY CARE (AHCCCS) | 694548 | 01 |
| AZ | DELTA OF AZ | 5005068 | 01 |
| Street Address |
26224 N TATUM BLVD SUIT # 10 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85050-7500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407856545 | Binita Patel | Pediatrics | 26224 N Tatum Blvd, Suite 1, Phoenix, AZ 85050-7500 | 2005-07-29 |
| 1790236693 | Arizona Childrens Dental Care | Dentist | 26224 N Tatum Blvd, Suite 12, Phoenix, AZ 85050-7500 | 2016-10-17 |
| 1023369154 | Az Children's Dental Care Pllc | Dentist | 26224 N Tatum Blvd, Ste 12, Phoenix, AZ 85050-7500 | 2012-09-28 |
| 1568791499 | Stephanie Vandyke | Registered Nurse | 26224 N Tatum Blvd, Ste 1, Phoenix, AZ 85050 | 2009-12-24 |
| 1134243330 | Desert Sun Pediatrics PC | Pediatrics | 26224 N Tatum Blvd, Suite 1, Phoenix, AZ 85050-7500 | 2007-03-16 |
| 1407935935 | Physiotherapy Associates Inc | Clinic/Center | 26224 N Tatum Blvd, Suite 11, Phoenix, AZ 85050-7500 | 2006-11-03 |
| 1174605059 | Tatum Highlands Medical Associates Plc | Clinic/Center | 26224 N Tatum Blvd, Suite 15a, Phoenix, AZ 85050-7500 | 2006-10-19 |
| 1528155702 | Robin E Limmer Bibb | Physician Assistant | 26224 N Tatum Blvd, Suite #15a, Phoenix, AZ 85050-7500 | 2006-10-06 |
| 1124033717 | Desert View Family Practice Inc | Family Medicine | 26224 N Tatum Blvd, Suite 5, Phoenix, AZ 85050-7500 | 2006-07-30 |
| 1487614681 | Julie D.p. Schlomer | Physician Assistant | 26224 N Tatum Blvd, Phoenix, AZ 85050-7500 | 2006-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770045528 | Jesse Micheal Stokke | Student in an Organized Health Care Education/Training Program | Honorhealth Jomax Clinic, 26224 N. Tatum Blvd. #5, Phoenix, AZ 85050 | 2019-04-02 |
| 1386104974 | Dania Aijaz Shah | Student in an Organized Health Care Education/Training Program | Honor Health Jomax Clinic, 26224 N. Tatum Blvd. #5, Phoenix, AZ 85050 | 2019-03-21 |
| 1205391588 | Sanctuary | Clinic/Center | 2550 E Rose Garden Ln, # 73404, Phoenix, AZ 85050 | 2019-01-31 |
| 1477026474 | Archer Health LLC | Nurse Practitioner | 21001 N Tatum Blvd Ste 1630 - 490, Phoenix, AZ 85050 | 2019-01-02 |
| 1548756059 | Preston Andrew Slade | Community/Behavioral Health | 20860 E. Tatum Blvd Ste, 300, Phoenix, AZ 85050 | 2018-07-09 |
| 1184126658 | Alisha Ramirez | Specialist/Technologist | 19638 N 37th Way, Phoenix, AZ 85050 | 2018-03-01 |
| 1720590011 | Dr Richards Pllc | Internal Medicine | 20815 N 25th Pl Ste A106, Phoenix, AZ 85050 | 2017-10-26 |
| 1417474792 | Heather Arabeity | Nurse Practitioner | 3762 E Zachary Dr, Phoenix, AZ 85050 | 2017-08-28 |
| 1083161087 | Haley Elaine Kinzer | Physician Assistant | 20950 N Tatum Blvd Ste 150, Phoenix, AZ 85050 | 2016-09-07 |
| 1003227927 | Chelsea Joy Thomsen | Internal Medicine | 26224 N Tatum Blvd Ste 7, Phoenix, AZ 85050 | 2014-05-13 |
| Find all providers in zip 85050 | ||||
| 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 |
|---|---|---|---|---|
| 1851990444 | Shaveta Behl | Dentist | 320 E Mcdowell Rd Ste 221, Phoenix, AZ 85004-4516 | 2020-10-23 |
| 1083212575 | Rasha Adil Abduljabbar Al-kaabi | Dentist | 4750 E Union Hills Dr Apt 1076, Phoenix, AZ 85050-3366 | 2020-10-15 |
| 1912510678 | Nicholas Ahn | Dentist | 1550 E Campbell Ave Apt 3028, Phoenix, AZ 85014-4271 | 2020-08-24 |
| 1326659087 | Triple Eight Dental Group, Pllc | Dentist | 7910 W Thomas Rd Ste 118, Phoenix, AZ 85033-4830 | 2020-08-14 |
| 1376154450 | Hatcher Dental Studio | Dentist | 421 W Hatcher Rd # 101, Phoenix, AZ 85021-2455 | 2020-08-12 |
| 1811515885 | Robert James Koch | Dentist | 2236 W Bethany Home Rd Ste 1, Phoenix, AZ 85015-1934 | 2020-07-07 |
| 1093332454 | James Dang | Dentist | 2777 E Camelback Rd Ste 101, Phoenix, AZ 85016-4348 | 2020-07-01 |
| 1639700735 | Swiss Biologic Dentistry, LLC | Dentist | 4202 N 32nd St Ste A, Phoenix, AZ 85018-4764 | 2020-01-28 |
| 1194370403 | Rajas Milind Pradhan | Dentist | 4201 E Bell Rd, Phoenix, AZ 85032-2211 | 2019-08-04 |
| 1396398806 | Aman Kaur | Dentist | 3320 W Southern Ave Ste 111, Phoenix, AZ 85041-4307 | 2019-07-23 |
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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.