RECON DENTAL SOLUTIONS LLC (NPI# 1750876637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750876637 |
| Entity Type | Organization |
| Organization Name | RECON DENTAL SOLUTIONS LLC |
| Other Organization Name | VALUE DENTAL CENTERS |
| Practice Address |
4505 E Mckellips Rd Mesa AZ 85215-2523 |
| Mailing Address |
1628 E Southern Ave Ste 9-232 Tempe AZ 85282-5782 |
| Practice Telephone | 4806268060 |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2018-06-25 |
| Authorized Official Name | SEVERN BIZZARO (MANAGER) |
| Authorized Official Telephone | 7024490881 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Value Dental Centers | Doing Business As Name - Organization |
| Street Address |
4505 E MCKELLIPS RD |
| City | MESA |
| State | AZ |
| Zip Code | 85215-2523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508883729 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 4505 E Mckellips Rd, Mesa, AZ 85215-2523 | 2006-07-16 |
| 1659820819 | Value Dental Centers Mesa East Az, LLC | Clinic/Center | 4505 E Mckellips Rd, Mesa, AZ 85215-2523 | 2016-09-29 |
| 1740738087 | Alan Grosso | Pharmacist | 4505 E Mckellips Rd, Mesa, AZ 85215-2523 | 2016-09-15 |
| 1225437049 | Jack Weber | Pharmacist | 4505 E Mckellips Rd, Mesa, AZ 85215-2523 | 2014-08-18 |
| 1255756201 | Vaishali Alpesh Patel | Pharmacist | 4505 E Mckellips Rd, Mesa, AZ 85215-2523 | 2014-02-27 |
| 1114340569 | Francisco Madrid | Pharmacist | 4505 E Mckellips Rd, Mesa, AZ 85215-2523 | 2014-01-21 |
| 1487798443 | Elvin Ho Od PC | Optometrist | 4505 E Mckellips Rd, Vision Center, Mesa, AZ 85215 | 2007-02-16 |
| 1053480491 | Elvin Ho | Optometrist | 4505 E Mckellips Rd, Vision Center, Mesa, AZ 85215-2523 | 2006-11-08 |
| 1508947508 | Walmart Stores, Inc. | Technician/Technologist | 4505 E Mckellips Rd, Mesa, AZ 85215-2523 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093355356 | Kristen Eldridge | Counselor | 2929 N. Power Rd. Suite 101, Mesa, AZ 85215 | 2020-01-14 |
| 1063062149 | Makenna Francis | Nurse Practitioner | 2730 S. Val Vista Dr, 146, Mesa, AZ 85215 | 2019-09-19 |
| 1487200481 | Royalty Home Care Solutions, LLC | Assisted Living Facility | 6551 E. Menlo St, Mesa, AZ 85215 | 2019-08-15 |
| 1083170641 | Mylena Dashaun Smith | Psychologist | 2812 N. Norwalk St Bldg. 14, Ste 127 & 128, Mesa, AZ 85215 | 2019-02-19 |
| 1487134789 | Arizona Dental Professionals, P.C. | Dentist | 3218 N Recker Rd, Mesa, AZ 85215 | 2018-08-16 |
| 1619463494 | Compassion Care Home, LLC | Private Vehicle | 2863 N 64th Street, Mesa, AZ 85215 | 2018-07-05 |
| 1407293491 | Courtney D Warren | Physical Therapist | 2837 N Power Rd Ste 109, Mesa, AZ 85215 | 2013-05-30 |
| 1104182906 | Kirstin Anna Correia | Naturopath | 3405 N Higley Rd, Mesa, AZ 85215 | 2012-04-05 |
| 1154609683 | Cristy Lee Hoge | Pharmacist | 2151 N. Power Rd., Mesa, AZ 85215 | 2011-08-02 |
| 1699067546 | Fredrick G. Johnson | Registered Nurse | 4320 E Presidio St, #101, Mesa, AZ 85215 | 2011-05-11 |
| Find all providers in zip 85215 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396354205 | Freedom Dental, Pllc | Clinic/Center | 6328 E Brown Rd Ste 105, Mesa, AZ 85205-4841 | 2020-07-27 |
| 1972061364 | Dr Lorin Eric Jackrel, Dmd, PC | Clinic/Center | 2150 S Dobson Rd Ste 2, Mesa, AZ 85202-6487 | 2019-03-05 |
| 1366906190 | Bella Via Dental, Pllc | Clinic/Center | 4425 S Mountain Rd Ste 106, Mesa, AZ 85212-7132 | 2019-01-25 |
| 1497271068 | Mesa Dental Pllc | Clinic/Center | 1423 S Higley Rd Ste 101, Mesa, AZ 85206-3449 | 2017-08-16 |
| 1851815575 | Crismon Road Dmso LLC | Clinic/Center | 1157 S Crismon Rd Ste 103, Mesa, AZ 85208-2661 | 2017-08-03 |
| 1386847218 | Arizona Dental Health, Inc. | Clinic/Center | 2500 S. Power Rd. Ste. 105, Mesa, AZ 85209 | 2007-06-07 |
| 1821607342 | Central Valley Dental Care LLC | Clinic/Center | 5440 E Southern Ave Ste 107, Mesa, AZ 85206-2779 | 2020-07-30 |
| 1497379564 | Denver J. Palmer, D.m.d., P.C. | Clinic/Center | 6852 E Brown Rd, Mesa, AZ 85207-3706 | 2020-06-03 |
| 1386278679 | Advanced Dental Prosthetics | Clinic/Center | 107 N Greenfield Rd Ste 1, Mesa, AZ 85205-7802 | 2020-02-26 |
| 1447898481 | Ge Dental Pllc | Clinic/Center | 944 N Gilbert Rd Ste 104, Mesa, AZ 85203-5836 | 2019-12-19 |
| Find all providers in MESA | ||||
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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.