SHREEVE DENTAL LLC (NPI# 1952684326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952684326 |
| Entity Type | Organization |
| Organization Name | SHREEVE DENTAL LLC |
| Other Organization Name | SUPERSTITION LAKES DENTAL |
| Practice Address |
2500 S Power Rd Ste 131 Mesa AZ 85209-6686 |
| Practice Telephone | 4809245577 |
| Practice Fax Number | 4809245573 |
| Mailing Telephone | 4809245577 |
| Mailing Fax Number | 4809245573 |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2011-11-29 |
| Authorized Official Name | DR. BLAKE G SHREEVE (OWNER) |
| Authorized Official Telephone | 4809245577 |
| Authorized Official Credential | DMD |
| 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 |
|---|---|
| Superstition Lakes Dental | Other Name - Individual/Organization |
| Street Address |
2500 S POWER RD STE 131 |
| City | MESA |
| State | AZ |
| Zip Code | 85209-6686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578567129 | Marc Wayne Moore | Physical Therapist | 2500 S Power Rd, Ste 123, Mesa, AZ 85209-6686 | 2005-06-10 |
| 1851823009 | Adult & Adolescent Recovery Counseling | Counselor | 2500 S Power Rd, Ste. 107, Mesa, AZ 85209-6686 | 2017-03-28 |
| 1588926299 | Jarod Eagles | Chiropractor | 2500 S Power Rd, Suite 106, Mesa, AZ 85209-6686 | 2012-06-10 |
| 1396072864 | Simon Chiropractic Center Pllc | Chiropractor | 2500 S Power Rd, Ste 106, Mesa, AZ 85209-6686 | 2009-11-04 |
| 1417185414 | Therese H Kilgore | Counselor | 2500 S Power Rd, Suite 101, Mesa, AZ 85209-6686 | 2009-06-29 |
| 1497905103 | Nathan Shawn Tanner | Physical Therapist | 2500 S Power Rd, #123, Mesa, AZ 85209-6686 | 2008-09-30 |
| 1841454683 | Blake G Shreeve | Dentist | 2500 S Power Rd, Ste 131, Mesa, AZ 85209-6686 | 2008-07-10 |
| 1447471024 | Tyler N Davis | Dentist | 2500 S Power Rd, Ste 102, Mesa, AZ 85209 | 2007-05-01 |
| 1801016076 | Toni Lynn Hembree Kigin | Psychologist | 2500 S Power Rd, Ste 108, Mesa, AZ 85209 | 2007-04-27 |
| 1619197332 | Nathan T Davis Dds PC | Dentist | 2500 S Power Rd, Ste 128, Mesa, AZ 85209 | 2007-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013539568 | Wingfoot Wellness & Hormones LLC | Nurse Practitioner | 2500 S Power Road, Building 7 Suite 218, Mesa, AZ 85209 | 2020-05-07 |
| 1558916247 | Shiny Susan Thomas | Family Medicine | 7615,east Baseline Road, Mesa, AZ 85209 | 2019-08-08 |
| 1245798933 | Premier Care Medical Services Pllc | Clinic/Center | 7363 E Naranja Ave, Mesa, AZ 85209 | 2019-03-12 |
| 1518450568 | Mhb Services | Internal Medicine | 1301 S Crismon Road, Mesa, AZ 85209 | 2018-06-13 |
| 1174012934 | Andrew Swenson | Student in an Organized Health Care Education/Training Program | 10238 E. Hampton #406, Mesa, AZ 85209 | 2018-05-08 |
| 1689196057 | Monica R Meyer | Registered Nurse | 2424 S Rowen, Mesa, AZ 85209 | 2017-07-07 |
| 1629507041 | Rachel Ann Navarro | Occupational Therapist | 10431 E Natal Ave, Mesa, AZ 85209 | 2017-06-08 |
| 1073041331 | Michelle Resendez | Nurse Practitioner | 2500 S Power Rd, Bldg 7, Ste 218, Mesa, AZ 85209 | 2017-05-31 |
| 1275069569 | Michelle Amado | Nurse Practitioner | 2500 S. Power Rd, Bldg 7, Ste 218, Mesa, AZ 85209 | 2017-05-04 |
| 1982138079 | Warren Brent Thomas | Nurse Anesthetist, Certified Registered | 10632 E Kiva Ave, Mesa, AZ 85209 | 2017-04-14 |
| Find all providers in zip 85209 | ||||
| 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 |
|---|---|---|---|---|
| 1609475060 | Happy Molar Dental LLC | Dentist | 67 N Dobson Rd Ste A-104, Mesa, AZ 85201-6822 | 2020-10-18 |
| 1215553565 | Andrew Eugene Pak | Dentist | 10664 East Point Twenty-two Blvd, Mesa, AZ 85212 | 2020-06-23 |
| 1801438585 | Rauch Dental Associates LLC | Dentist | 2820 E University Dr Ste 108, Mesa, AZ 85213-8505 | 2019-10-14 |
| 1316591407 | George M Magnus | Dentist | 921 S Val Vista Dr Unit 98, Mesa, AZ 85204-5615 | 2019-07-28 |
| 1124672548 | R Keith Farr Dds LLC | Dentist | 4540 E Baseline Rd Ste 111, Mesa, AZ 85206-4616 | 2019-07-25 |
| 1578116679 | Arizona Dental Professionals, P.C. | Dentist | 10749 E Southern Ave, Mesa, AZ 85209-3885 | 2019-07-18 |
| 1629621982 | My Dentist Enterprises, Inc. | Dentist | 2045 S Vineyard Ste 153, Mesa, AZ 85210-6892 | 2019-07-16 |
| 1932761947 | Tyler John Bingham | Dentist | 2537 N Maple, Mesa, AZ 85215-1723 | 2019-07-01 |
| 1598228132 | Joe J Panelli | Dentist | 2824 N Power Rd Ste 108, Mesa, AZ 85215-1673 | 2019-04-10 |
| 1194291997 | Arizona Discount Dentistry Pllc | Dentist | 2500 S Power Rd Ste 127, Mesa, AZ 85209-6689 | 2018-10-18 |
| Find all providers in MESA | ||||
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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.