CASA GRANDE IMPRESSIONS II, LLC (NPI# 1851521918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851521918 |
| Entity Type | Organization |
| Organization Name | CASA GRANDE IMPRESSIONS II, LLC |
| Other Organization Name | IMPRESSIONS DENTAL |
| Practice Address |
442 W Kortsen Rd Suite 104 Casa Grande AZ 85222-5913 |
| Practice Telephone | 5203742400 |
| Practice Fax Number | 5203742500 |
| Mailing Telephone | 5203742400 |
| Mailing Fax Number | 5203742500 |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2009-07-22 |
| Authorized Official Name | DR. KELLY BRANDON WETTSTEIN (OWNER) |
| Authorized Official Telephone | 4808148888 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | Y |
| Parent Organization Name | IMPRESSIONS DENTAL, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D7749 | AZ | Dental Providers |
| Other Name | Type Code |
|---|---|
| Impressions Dental | Doing Business As Name - Organization |
| Street Address |
442 W KORTSEN RD SUITE 104 |
| City | CASA GRANDE |
| State | AZ |
| Zip Code | 85222-5913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699184093 | Hemali Paton | Pharmacist | 1741 E. Florence Blvd., Casa Grande, AZ 85222 | 2014-08-11 |
| 1023249893 | Krista Marie Nielsen | Nurse Practitioner | 1676 E. Mcmurray Blvd, Cgrmc Urgent Care, Casa Grande, AZ 85222 | 2009-07-28 |
| 1639333479 | Villago Marketplace Dental Care PC | Dentist | 2876 N Pinal Ave, Suite 4, Casa Grande, AZ 85222 | 2008-07-10 |
| 1487811790 | Ashley Vander Weel | Dietitian, Registered | 351 N Peart Rd, Apt 325, Casa Grande, AZ 85222 | 2008-05-22 |
| 1205022787 | Linda C Cassidy | Registered Nurse | 2730 North Trekell Road, Casa Grande Union High School, Casa Grande, AZ 85222 | 2007-09-19 |
| 1104021476 | Jeremy Wade Cull | Dentist | 1876 E Sabin Drive Suite #18, Casa Grande, AZ 85222 | 2007-06-18 |
| 1841404852 | New Horizon Youth Homes, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 467 East Dragon Springs Dr, Casa Grande, AZ 85222 | 2007-05-09 |
| 1013137827 | Namninder S Grn | Dentist | 1677 E Florence Blvd, #24, Casa Grande, AZ 85222 | 2007-04-26 |
| 1528189529 | Jewell Lavoo | Registered Nurse | 129 N Arizola Rd, Casa Grande, AZ 85222 | 2007-04-03 |
| 1922148089 | Martha Dawn Jones-baer | Registered Nurse | 1220 E. Kortsen Dr, Cactus Middle School, Casa Grande, AZ 85222 | 2007-02-07 |
| Find all providers in zip 85222 | ||||
| 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 |
|---|---|---|---|---|
| 1366040057 | Hdp Casa Grande Dental LLC | Dentist | 1968 N Peart Rd Ste 22, Casa Grande, AZ 85122-2497 | 2020-10-14 |
| 1770712820 | Tyson Archer Davis | Dentist | 2028 N Trekell Rd Ste 107, Casa Grande, AZ 85122-1326 | 2009-07-10 |
| 1437392248 | Promenade Smiles, LLP | Dentist | 808 N Mission Pkwy, Casa Grande, AZ 85194-8412 | 2009-04-08 |
| 1639333479 | Villago Marketplace Dental Care PC | Dentist | 2876 N Pinal Ave, Suite 4, Casa Grande, AZ 85222 | 2008-07-10 |
| 1639344849 | Steven H. Dill | Dentist | 2028 N Trekell Rd Ste 108, Casa Grande, AZ 85222-1326 | 2008-04-29 |
| 1619168259 | Spencer David Weed | Dentist | 1677 E Florence Blvd Ste 24, Casa Grande, AZ 85122-4786 | 2007-08-08 |
| 1033319942 | Brannon Jay Gunnell | Dentist | 1550 E Florence Blvd Ste 4, Casa Grande, AZ 85222-4788 | 2007-07-19 |
| 1225175847 | Scott Paul Gunnell | Dentist | 1550 E Florence Blvd, 4, Casa Grande, AZ 85222 | 2007-01-31 |
| 1487791018 | Daryl B. Potyczka | Dentist | 1355 E. Florence Ave. #107, Casa Grande, AZ 85222 | 2007-01-31 |
| 1750439923 | Yang and Yang, D.m.d., P.C. | Dentist | 325 E Cottonwood Ln, Casa Grande, AZ 85222-2550 | 2007-01-06 |
| Find all providers in CASA GRANDE | ||||
| City | CASA GRANDE |
| Zip Code | 85222 |
Please comment or provide details below to improve the information on CASA GRANDE IMPRESSIONS II, LLC.
| 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.