GREENWAY DENTISTRY, LLC (NPI# 1942413836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942413836 |
| Entity Type | Organization |
| Organization Name | GREENWAY DENTISTRY, LLC |
| Other Organization Name | REEL DENTAL - GREENWAY |
| Practice Address |
16630 W Greenway Rd A319 Surprise AZ 85388-2185 |
| Mailing Address |
2323 W Mescal St Ste 205 Phoenix AZ 85029-4764 |
| Practice Telephone | 6235564949 |
| Mailing Telephone | 6029440073 |
| Mailing Fax Number | 6029440371 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | FAWNE PRYOR (AR, BILLING AND INSURANCE MANAGER) |
| Authorized Official Telephone | 6029440073 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| Reel Dental - Greenway | Doing Business As Name - Organization |
| Street Address |
16630 W GREENWAY RD A319 |
| City | SURPRISE |
| State | AZ |
| Zip Code | 85388-2185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710998166 | William Mircea Bucur | Chiropractor | 16630 W Greenway Rd, 321, Surprise, AZ 85388-2185 | 2006-08-11 |
| 1164895306 | A G Corp Inc | Dentist | 16630 W Greenway Rd, Suite 319, Surprise, AZ 85388-2185 | 2015-11-10 |
| 1942454483 | Surprise Dental, LLC | Dentist | 16630 W Greenway Rd, Suite 319, Surprise, AZ 85388-2185 | 2008-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508410887 | Kids Dentists of Surprise and Orthodontics, LLP | Dentist | 15180 N. Cotton Lane, Suite 104, Surprise, AZ 85388 | 2019-07-25 |
| 1588148803 | Moahk Behavioral Home LLC | Assisted Living Facility | 16645 West Central Street, Surprise, AZ 85388 | 2018-09-21 |
| 1881118867 | Haja Sankoh | Behavior Technician | 16645 West Central St, Surprise, AZ 85388 | 2017-08-01 |
| 1235516675 | Benjamin J Hegenbarth | Family Medicine | 14981 Nth 174 Dr., Surprise, AZ 85388 | 2015-05-06 |
| 1447644521 | Urgent Care Centers of Arizona, LLC | Clinic/Center | 16840 W. Waddell Road, Suite 110, Surprise, AZ 85388 | 2015-03-26 |
| 1548512239 | We Care Medical Supply Plus | Durable Medical Equipment & Medical Supplies | 17317 W. Banff Lane, Surprise, AZ 85388 | 2012-10-05 |
| 1376871095 | Rebecca Kimberly Adamoli | Nurse's Aide | 17999 N. Surprise Farms Loop South, Surprise, AZ 85388 | 2009-11-19 |
| 1417281395 | Tracy Dunbar | Respite Care | 18245 West Port Royale Ln., Surprise, AZ 85388 | 2009-09-25 |
| 1467696617 | Eileen Georgina Soltis | Registered Nurse | 17359 W. Surprise Farms Loop N, Surprise, AZ 85388 | 2009-04-30 |
| 1538306360 | Wholistic Integrative Caring Network LLC | Nurse Practitioner | 16278 N. 164th Lane, Surprise, AZ 85388 | 2009-01-15 |
| Find all providers in zip 85388 | ||||
| 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 |
|---|---|---|---|---|
| 1891346003 | Abdullah Ahmad | Dentist | 13820 W Bell Rd Ste 5, Surprise, AZ 85374-3991 | 2019-09-28 |
| 1508410887 | Kids Dentists of Surprise and Orthodontics, LLP | Dentist | 15180 N. Cotton Lane, Suite 104, Surprise, AZ 85388 | 2019-07-25 |
| 1629554167 | Great Smiles Dental Care | Dentist | 14800 W. Mountain View Blvd, Suite 200, Surprise, AZ 85574 | 2018-07-18 |
| 1649766452 | Keeley Nga Le | Dentist | 17081 W Greenway Rd Ste 120, Surprise, AZ 85388-9612 | 2018-07-04 |
| 1538653936 | Erin Balaban | Dentist | 15317 W Bell Rd Suite 108, Surprise, AZ 85374-4509 | 2018-06-19 |
| 1790139749 | Timothy Scott Paulson Jr. | Dentist | 15229 W Elko Dr, Surprise, AZ 85374-4469 | 2016-04-15 |
| 1679933154 | Surprise Family Dentistry | Dentist | 18775 N Reems Rd Ste 300, Surprise, AZ 85374-8647 | 2016-02-26 |
| 1811373350 | Jessica Brereton Peterkin | Dentist | 13856 W Waddell Rd Ste 102, Surprise, AZ 85379-3801 | 2015-08-06 |
| 1447649454 | Jose E Delos Santos | Dentist | 15717 W Jenan Dr, Surprise, AZ 85379-1026 | 2015-01-14 |
| 1104231562 | Zachary Martineau | Dentist | 15341 W Waddell Rd Ste B107, Surprise, AZ 85379-5169 | 2014-06-24 |
| Find all providers in SURPRISE | ||||
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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.