SHANNONJ LEE FENTON (NPI# 1902014863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902014863 |
| Entity Type | Individual |
| Full Name | SHANNONJ LEE FENTON |
| Credential | RDA |
| Practice Address |
3155 W Indian School Rd Phoenix AZ 85017-4035 |
| Mailing Address |
3530 E Moreland St Apt 3 Phoenix AZ 85008-5247 |
| Practice Telephone | 6022129533 |
| Mailing Telephone | 4804301172 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
31911 | CA | Dental Providers |
| Street Address |
3155 W INDIAN SCHOOL RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85017-4035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811065238 | Jae Hyun Park | Dentist | 3155 W Indian School Rd, Western Dental Orthodontic Office, Phoenix, AZ 85017-4035 | 2006-12-01 |
| 1194106260 | Deandrea Nicole Bell | Dentist | 3155 W Indian School Rd, Phoenix, AZ 85017-4035 | 2015-06-15 |
| 1467598417 | Western Dental of Arizona, Inc. | Dentist | 3155 W Indian School Rd, Phoenix, AZ 85017-4035 | 2007-01-29 |
| 1134289465 | Stephen L Kim | Dentist | 3155 W Indian School Rd, Phoenix, AZ 85017-4035 | 2006-12-08 |
| 1578622387 | Thanh Vien Du | Dentist | 3155 W Indian School Rd, Phoenix, AZ 85017-4035 | 2006-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169282 | Deborah Carter | Specialist/Technologist | 5346 N. 29th Ave., Phoenix, AZ 85017 | 2020-09-17 |
| 1730671207 | Michael Carl Smith | Assisted Living Facility | 5736 N 33rd Ave, Phoenix, AZ 85017 | 2018-05-31 |
| 1457860561 | Bianca Yvonne Lopez | Psychiatry & Neurology | 3001 N. 33rd Ave, Phoenix, AZ 85017 | 2017-09-21 |
| 1295259281 | Happy Home Care | Home Health | 4550 N. Black Canyon Hwy Road, Phoenix, AZ 85017 | 2017-08-01 |
| 1851848493 | Horeb Transportation LLC | Non-emergency Medical Transport (VAN) | 5718 N Black Canyon Hwy, 36, Phoenix, AZ 85017 | 2016-09-01 |
| 1932565942 | Urgent Pain, LLC | Contractor | 6025 N. 27th Ave, Suite 6, Phoenix, AZ 85017 | 2016-01-06 |
| 1457766172 | Lindsay Allison Love | Social Worker | 3306 W. Catalina Dr., Phoenix, AZ 85017 | 2014-06-23 |
| 1437592433 | Maya Medical Services | Clinic/Center | 2908 W. Camelback Rd., Phoenix, AZ 85017 | 2013-04-10 |
| 1801089685 | Jonnie Arnold | Counselor | 3400 Grand Ave, Phoenix, AZ 85017 | 2007-08-24 |
| 1851414890 | Corpus Christi Home Care and Hospice LLC | Hospice Care, Community Based | 3001 W Indian School Rd, Suite #26, Phoenix, AZ 85017 | 2007-04-06 |
| Find all providers in zip 85017 | ||||
| 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.