SKYLINE DENTAL GROUP AND ORTHODONTICS, LLP (NPI# 1811250301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811250301 |
| Entity Type | Organization |
| Organization Name | SKYLINE DENTAL GROUP AND ORTHODONTICS, LLP |
| Other Organization Name | SKYLINE DENTAL GROUP AND ORTHODONTICS |
| Practice Address |
1714 West Hunt Hwy Suite 100 Queen Creek AZ 85243 |
| Mailing Address |
17000 Red Hill Ave Irvine CA 92614-5626 |
| Practice Telephone | 4808823119 |
| Practice Fax Number | 4808823129 |
| Mailing Telephone | 7148458890 |
| Mailing Fax Number | 9494741495 |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2013-12-31 |
| Authorized Official Name | JONATHAN RICHTSTEIG (DMD/OWNER) |
| Authorized Official Telephone | 4808823119 |
| 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 |
|---|---|
| Skyline Dental Group and Orthodontics | Doing Business As Name - Organization |
| Street Address |
1714 WEST HUNT HWY SUITE 100 |
| City | QUEEN CREEK |
| State | AZ |
| Zip Code | 85243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467672386 | Copper Dental Management | Dentist | 2510 E Hunt Highway, #28, Queen Creek, AZ 85243 | 2007-04-26 |
| 1346387404 | Joseph Timbre | Optometrist | 1725 W Hunt Highway, Queen Creek, AZ 85243 | 2007-01-30 |
| 1801942636 | Diane R Kuhlmann | Licensed Practical Nurse | 1084 W San Tan Hills, Queen Creek, AZ 85243 | 2007-01-26 |
| 1285798678 | Annette Winsor | Technician | 184 E Piccolo Ct, Queen Creek, AZ 85243 | 2006-12-20 |
| 1972675031 | Patricia Ellen Keaton | Technician | 31317 N Blackfoot Dr, Queen Creek, AZ 85243 | 2006-11-14 |
| 1134366065 | Abby Mcneil | Occupational Therapist | 31437 N Desert Star Dr, Queen Creek, AZ 85243-3046 | 2009-01-14 |
| 1265694012 | Walter M Dise | Non-emergency Medical Transport (VAN) | 34095 N Slate Creek Dr, Queen Creek, AZ 85243-3420 | 2008-07-01 |
| 1700070489 | John David Mather | Clinical Neuropsychologist | 1084 San Tan Hills Dr, Queen Creek, AZ 85243-3489 | 2007-09-05 |
| 1629233507 | Sellner Home Care LLC | Hospice Care, Community Based | 775 W Desert Canyon Dr, Queen Creek, AZ 85243-3515 | 2008-07-21 |
| 1033328992 | Stana Hunt | Counselor | 29697 N Desert Willow Blvd, Walker Butte K-8 School, Queen Creek, AZ 85243-3917 | 2007-05-21 |
| Find all providers in zip 85243 | ||||
| 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 |
| 1760036644 | Hdp Affinity Dental LLC | Dentist | 21321 E Ocotillo Rd Ste 130, Queen Creek, AZ 85142-5995 | 2019-07-29 |
| 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 |
| Find all providers in QUEEN CREEK | ||||
| City | QUEEN CREEK |
| Zip Code | 85243 |
Please comment or provide details below to improve the information on SKYLINE DENTAL GROUP AND ORTHODONTICS, LLP.
| 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.