OOLI ORTHODONTICS - AZ, PHX, P.C. (NPI# 1740482694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740482694 |
| Entity Type | Organization |
| Organization Name | OOLI ORTHODONTICS - AZ, PHX, P.C. |
| Other Organization Name | OOLI VALLEY ORTHODONTICS |
| Practice Address |
1701 W Glendale Ave Suite #3 Phoenix AZ 85021-9701 |
| Mailing Address |
6200 S Mcclintock Dr Suite #4 Tempe AZ 85283-3268 |
| Practice Telephone | 4807777759 |
| Practice Fax Number | 4807777120 |
| Mailing Telephone | 4807777759 |
| Mailing Fax Number | 4807777120 |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2009-06-05 |
| Authorized Official Name | DR. WON-WOO PARK (PRESIDENT) |
| Authorized Official Telephone | 4807777759 |
| Authorized Official Credential | D.M.D., M.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
6542 | AZ | Dental Providers |
| Other Name | Type Code |
|---|---|
| OoLi Valley Orthodontics | Doing Business As Name - Organization |
| Street Address |
1701 W GLENDALE AVE SUITE #3 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85021-9701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790840031 | Rex Eldon Brewster | Dentist | 1701 W Glendale Ave, Suite 4, Phoenix, AZ 85021 | 2006-12-27 |
| 1346683950 | Sonrisa Dental, LLC | Dentist | 1701 W Glendale Ave, Suite 1, Phoenix, AZ 85021-9701 | 2013-04-12 |
| 1508180043 | Providence General Medicine | Clinic/Center | 1701 W Glendale Ave, Phoenix, AZ 85021-9701 | 2010-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679173181 | Jill M Robinson | Social Worker | 8804 N. 23rd Ave, Bldg. A Ste. A01-a02, Phoenix, AZ 85021 | 2020-10-26 |
| 1528671013 | Sabrina Mcninch | Behavior Technician | 1200 W Dunlap Ave, Ste 100, Phoenix, AZ 85021 | 2020-08-25 |
| 1376169938 | Maricopa County Special Heallth Care District | Pharmacy | 2025 W Northern Ave, Phoenix, AZ 85021 | 2020-06-19 |
| 1841832664 | Madison Westby | Physical Therapist | 717 W Dunlap Ave # 100, Phoenix, AZ 85021 | 2019-10-14 |
| 1861967481 | Southwest Family Naturopathic Clinic Pllc | Naturopath | 1530 W Glendale Ave Suite 103, Phoenix, AZ 85021 | 2018-10-10 |
| 1184101461 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 8804 N 23rd Ave, Suite A01/a02, Phoenix, AZ 85021 | 2018-07-19 |
| 1568970150 | Alycia Ann Poloni | Occupational Therapist | 7129 N 23d Ave, Phoenix, AZ 85021 | 2018-01-17 |
| 1154839165 | Cyrus Professional Corporation | Dentist | 2401 W. Glendale Ave, Ste 102, Phoenix, AZ 85021 | 2018-01-12 |
| 1568980779 | Marla Jean Clay | Licensed Practical Nurse | 1717 W. Glendale Ave. Apt. 3011, Phoenix, AZ 85021 | 2017-09-07 |
| 1801325162 | Kaitlin King | Nurse Practitioner | 8824 N 9th Ave, Phoenix, AZ 85021 | 2017-06-08 |
| Find all providers in zip 85021 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558924415 | Ahwatukee Orthodontic Associates Inc | Dentist | 16611 S. 40th Street, Suite 110, Phoenix, AZ 85048 | 2019-04-17 |
| 1538636766 | David Hoffman Phoenix Orthodontics PC | Dentist | 5225 N 19th Ave Ste 8, Phoenix, AZ 85015-2903 | 2018-10-25 |
| 1881169233 | Smile Straight Orthodontics - Greenway LLC | Dentist | 3229 E Greenway Rd Ste 101, Phoenix, AZ 85032-4508 | 2018-10-11 |
| 1336656024 | Andrew Philip Serrano | Dentist | 1515 E Missouri Ave Ste 101, Phoenix, AZ 85014-2443 | 2018-01-04 |
| 1659829299 | The Smyl Co | Dentist | 10 W Adams St, Phoenix, AZ 85003-2025 | 2016-09-12 |
| 1932537131 | Jenny Sun | Dentist | 3425 W Thunderbird Rd, Suite 1, Phoenix, AZ 85053-5670 | 2013-10-24 |
| 1053753228 | North Valley Orthodontics Pllc | Dentist | 21050 N Tatum Blvd Ste D202, Phoenix, AZ 85050-4260 | 2013-07-29 |
| 1679823264 | Hemali Kothari | Dentist | 124 W Thomas Rd Ste 320, Phoenix, AZ 85013-4415 | 2012-09-12 |
| 1861720302 | Mark Kenneth Mcalister | Dentist | 702 East Bell Road, #100, Phoenix, AZ 85022 | 2009-11-20 |
| 1841434461 | Daniel S Blue | Dentist | 224 West San Juan Avenue, Phoenix, AZ 85013 | 2009-04-27 |
| 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.