HDP AFFINITY DENTAL LLC (NPI# 1760036644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760036644 |
| Entity Type | Organization |
| Organization Name | HDP AFFINITY DENTAL LLC |
| Other Organization Name | AFFINITY DENTAL |
| Practice Address |
21321 E Ocotillo Rd Ste 130 Queen Creek AZ 85142-5995 |
| Mailing Address |
2403 Lacy Ln Carrollton TX 75006-6514 |
| Practice Telephone | 4808822300 |
| Mailing Telephone | 9728693789 |
| Enumeration Date | 2019-07-29 |
| Last Update Date | 2019-11-01 |
| Authorized Official Name | FAITH GASKINS (DIRECTOR OF CREDENTIALING) |
| Authorized Official Telephone | 9728693789 |
| 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 |
|---|---|
| Affinity Dental | Doing Business As Name - Organization |
| Street Address |
21321 E OCOTILLO RD STE 130 |
| City | QUEEN CREEK |
| State | AZ |
| Zip Code | 85142-5995 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093346033 | Arizona Dental Professionals, P.C. | Dentist | 20311 S Ellsworth Rd Ste 101, Queen Creek, AZ 85142 | 2020-01-29 |
| 1073158903 | Jonathan Corey Barber | Physical Therapy Assistant | 22424 South Ellsworth Loop Road, #464, Queen Creek, AZ 85142 | 2019-11-14 |
| 1689142333 | Erin Sohr | Occupational Therapy Assistant | 4594 W Federal Way, San Tan Valley, AZ 85142 | 2018-11-10 |
| 1083180723 | Katelyn Hannabach | Physician Assistant | 21323 S Ellsworth Loop Rd Ste 101, Queen Creek, AZ 85142 | 2018-10-20 |
| 1043701899 | Brittany Leigh Amor | Dentist | 18550 E Rittenhouse Rd Ste 103, Queen Creek, AZ 85142 | 2018-05-28 |
| 1861925604 | Shani Thompson | Student in an Organized Health Care Education/Training Program | 22437 S 209th Way, Queen Creek, AZ 85142 | 2017-04-08 |
| 1689115164 | 360 Physical Therapy LLC | Physical Therapist | 21576 S Ellsworth Loop Rd, 150, Queen Creek, AZ 85142 | 2017-03-16 |
| 1891233714 | Candee J. Eisenhart | Nurse Practitioner | 21321 E Ocotillo Rd Ste 102, Queen Creek, AZ 85142 | 2017-02-11 |
| 1790231546 | Carrie Church | Nurse Practitioner | 20185 E Ocotillo Rd Ste 104, Queen Creek, AZ 85142 | 2016-08-31 |
| 1669836649 | Horizon Health and Wellness, Inc. | Community/Behavioral Health | 22713 S. Ellsworth Road, Building A, Queen Creek, AZ 85142 | 2016-04-06 |
| Find all providers in zip 85142 | ||||
| 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 |
|---|---|---|---|---|
| 1194337865 | Brie'el Wiles | Dentist | 21935 S 187th Way, Queen Creek, AZ 85142-6463 | 2020-08-23 |
| 1093346033 | Arizona Dental Professionals, P.C. | Dentist | 20311 S Ellsworth Rd Ste 101, Queen Creek, AZ 85142 | 2020-01-29 |
| 1528605649 | Dentists At Queen Creek, Pllc | Dentist | 21295 S Ellsworth Loop Rd, Queen Creek, AZ 85142-9866 | 2019-12-09 |
| 1245874940 | Dentists At Ironwood Crossing, LLP | Dentist | 40930 N Ironwood Dr Ste 107, Queen Creek, AZ 85140-8829 | 2019-11-05 |
| 1861041923 | Sierra Ferreira | Dentist | 18471 E Queen Creek Rd Ste 106, Queen Creek, AZ 85142-3628 | 2019-09-10 |
| 1720649189 | Hdp Wolff Dental LLC | Dentist | 23844 S Power Rd Ste B-106, Queen Creek, AZ 85142-6152 | 2019-06-26 |
| 1033675400 | Highbury Dental Management, LLC | Dentist | 40930 N Ironwood Dr, Queen Creek, AZ 85140-8915 | 2019-02-11 |
| 1972097392 | Lydian Dental Queen Creek, LLC | Dentist | 21295 S Ellsworth Loop Rd Ste 103, Queen Creek, AZ 85142-9867 | 2018-06-19 |
| 1457874901 | Joshua Dorris | Dentist | 21136 E Creekside Dr, Queen Creek, AZ 85142-5042 | 2017-07-17 |
| 1831507631 | Brett Lewis Martin | Dentist | 21152 E Rittenhouse Rd Ste 106, Queen Creek, AZ 85142-4964 | 2014-07-24 |
| Find all providers in QUEEN CREEK | ||||
| City | QUEEN CREEK |
| Zip Code | 85142 |
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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.