GOODYEAR MODERN DENTISTRY, LLP (NPI# 1912497504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912497504 |
| Entity Type | Organization |
| Organization Name | GOODYEAR MODERN DENTISTRY, LLP |
| Other Organization Name | GOODYEAR MODERN DENTISTRY |
| Practice Address |
15260 West Mcdowell Rd Goodyear AZ 85395 |
| Mailing Address |
17000 Red Hill Ave Irvine CA 92614-5626 |
| Practice Telephone | 6232077838 |
| Practice Fax Number | 6235228972 |
| Mailing Telephone | 7148458500 |
| Mailing Fax Number | 3039520892 |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2018-05-18 |
| Authorized Official Name | RAKESH D PEMA (OWNER) |
| Authorized Official Telephone | 6232077838 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| Goodyear Modern Dentistry | Doing Business As Name - Organization |
| Street Address |
15260 WEST MCDOWELL RD |
| City | GOODYEAR |
| State | AZ |
| Zip Code | 85395 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154962439 | Amber Dawn Gutierrez | Registered Nurse | 15430 W. Turney Avenue, Goodyear, AZ 85395 | 2019-10-08 |
| 1851947865 | Az Care Partners Home Care, LLC | Chore Provider | 14122 W. Mcdowell Rd., Suite 102a, Goodyear, AZ 85395 | 2019-08-15 |
| 1407334329 | Hana M Eichele | Occupational Therapist | 13385 W Mcdowell Road, Goodyear, AZ 85395 | 2018-08-02 |
| 1639662406 | Kristen Henderson | Occupational Therapist | 14577 W Indian School Road, Goodyear, AZ 85395 | 2018-06-07 |
| 1114419389 | Eric Seabaugh | Specialist/Technologist | 13385 W. Mcdowell Rd., Goodyear, AZ 85395 | 2018-06-04 |
| 1225531551 | Erik Jason Martinez | Registered Nurse | 4565 N 153rd Ln, Goodyear, AZ 85395 | 2018-03-13 |
| 1538677042 | Kacie Bartlett | Speech-Language Pathologist | 14557 W Mcdowel Rd, Suiet 500, Goodyear, AZ 85395 | 2018-01-18 |
| 1942717277 | Deeann Guymon | Specialist/Technologist | 13385 W. Mcdowell Road, Goodyear, AZ 85395 | 2018-01-09 |
| 1023520228 | Kathy Lynn Gorchesky | Registered Nurse | 15430 West Turney Avenue, Goodyear, AZ 85395 | 2017-10-27 |
| 1295281525 | West Valley Endodontics and Oral Surgery Inc | Dentist | 14122 W. Mcdowell Rd., 201, Goodyear, AZ 85395 | 2016-08-28 |
| Find all providers in zip 85395 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417448812 | Tyler John Francis | Dentist | 960 S Sarival Ave Ste 120, Goodyear, AZ 85338-3010 | 2018-05-22 |
| 1295226884 | Caroline Chang | Dentist | 15530 W Roosevelt St Ste E106, Goodyear, AZ 85338 | 2018-05-20 |
| 1326491341 | Kallen Wheeler | Dentist | 14425 W Mcdowell Rd Ste F106, Goodyear, AZ 85395-2516 | 2016-07-14 |
| 1225442213 | Buenhombre Dental Pllc | Dentist | 15581 W Mackenzie Dr, Goodyear, AZ 85395-7779 | 2014-06-17 |
| 1336453166 | David T Sung | Dentist | 15530 W Roosevelt St, Goodyear, AZ 85338-6216 | 2010-08-04 |
| 1457581696 | Scott A Nielsen | Dentist | 781 S Cotton Ln Ste 100, Goodyear, AZ 85338-4643 | 2009-07-22 |
| 1093996845 | Joseph He Chang | Dentist | 14122 W Mcdowell Rd Ste 200, Goodyear, AZ 85395-2505 | 2007-11-21 |
| 1477763043 | Robin Paul Lenaker Jr. | Dentist | 2025 N Pebblecreek Pkwy, Suite A-11, Goodyear, AZ 85395 | 2007-05-23 |
| 1275663791 | Dan Nydegger | Dentist | 15661 W Roosevelt Pkwy, Suite 102, Goodyear, AZ 85338-9307 | 2007-03-06 |
| 1679676001 | Mark Anthony Gustus | Dentist | 1646 Nth Litchfield Rd, Ste 225, Goodyear, AZ 85338 | 2006-09-07 |
| Find all providers in GOODYEAR | ||||
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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.