DR. WILLIE DENNIS (NPI# 1720134463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720134463 |
| Entity Type | Individual |
| Full Name | DR. WILLIE DENNIS |
| Credential | DMD |
| Practice Address |
2500 E Van Buren St Phoenix AZ 85008-6037 |
| Mailing Address |
5611 W Linda Ln Chandler AZ 85226-1889 |
| Practice Telephone | 6022206434 |
| Practice Fax Number | 6026297330 |
| Mailing Telephone | 6022206434 |
| Mailing Fax Number | 6026297330 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2572 | AZ | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538777388 | Willie Gene Dennis | Case Manager/Care Coordinator | 607 E 200 S, Salt Lake City, UT 84102-2110 | 2020-07-17 |
| Street Address |
2500 E VAN BUREN ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85008-6037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538170162 | State of Arizona | Pharmacy | 2500 E Van Buren St, Phoenix, AZ 85008-6037 | 2006-08-10 |
| 1447873732 | State of Arizona State Dept of Finance | Community Based Residential Treatment Facility, Mental Illness | 2500 E Van Buren St, Phoenix, AZ 85008-6037 | 2020-05-21 |
| 1528584547 | Nyanyiwa Vimba | Nurse Practitioner | 2500 E Van Buren St, Phoenix, AZ 85008 | 2017-08-22 |
| 1073068078 | Justin P Dennery | Nurse Practitioner | 2500 E Van Buren St, Phoenix, AZ 85008-6037 | 2016-08-19 |
| 1932467727 | Justin Randal Mickey | Nurse Practitioner | 2500 E Van Buren St, Phoenix, AZ 85008-6037 | 2012-04-30 |
| 1255628525 | Sergio Boris Chavez | Psychiatry & Neurology | 2500 E Van Buren St, Phoenix, AZ 85008-6037 | 2011-07-07 |
| 1518280734 | Viana Garcia Jackson | Counselor | 2500 E Van Buren St, Phoenix, AZ 85008-6037 | 2010-03-02 |
| 1891928636 | Sheldon Epstein | General Practice | 2500 E Van Buren St, Phoenix, AZ 85008-6037 | 2009-08-27 |
| 1366675324 | Conchita Tee | Internal Medicine | 2500 E Van Buren St, Phoenix, AZ 85008-6037 | 2009-08-25 |
| 1548493547 | Richard Rowe | Family Medicine | 2500 E Van Buren St, Phoenix, AZ 85008-6037 | 2009-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821607060 | Am Apnea and Tmj LLC | Durable Medical Equipment & Medical Supplies | 2303 N. 44thst., Suite 14-1008, Phoenix, AZ 85008 | 2020-07-23 |
| 1194341131 | Abdulbaril Olandapo Olagunju | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt Street, Valleywise Health, Phoenix, AZ 85008 | 2020-06-24 |
| 1376164632 | Abdul Rahman Raed Mustafa Halawa | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt St Valleywise Health, Phoenix, AZ 85008 | 2020-04-28 |
| 1245869460 | Zachary Masuda | Student in an Organized Health Care Education/Training Program | Valleywise Health Medical Center, 2601 E Roosevelt St, Phoenix, AZ 85008 | 2020-04-08 |
| 1942840145 | Cana Behavior LLC | Physical Therapist | 2412 N 36 Pl, Phoenix, AZ 85008 | 2020-01-15 |
| 1871158188 | Fred Gardezy | Student in an Organized Health Care Education/Training Program | Maricopa Integrated Health System 2601 E. Roosevelt St., Phoenix, AZ 85008 | 2019-05-02 |
| 1225692346 | Navkaran Singh Girgla | Student in an Organized Health Care Education/Training Program | 2601 East Roosevelt St., Phoenix, AZ 85008 | 2019-04-24 |
| 1316412323 | Southwest Human Developement | Early Intervention Provider Agency | 2850 N 24h Street, Phoenix, AZ 85008 | 2018-10-05 |
| 1558885970 | Mona Ridhwan Ziems | Midwife | 1919 N 31st St, Phoenix, AZ 85008 | 2017-07-27 |
| 1093244451 | Shana Cynamon | Audiologist | 1801 N 37th Pl, Phoenix, AZ 85008 | 2017-06-08 |
| Find all providers in zip 85008 | ||||
| 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 |
| Find all providers in PHOENIX | ||||
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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.