DR. JEREMY JOHN ABDUL-HAQQ (NPI# 1952760241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952760241 |
| Entity Type | Individual |
| Full Name | DR. JEREMY JOHN ABDUL-HAQQ |
| Credential | DDS |
| Practice Address |
15661 W Roosevelt St Ste 102 Goodyear AZ 85338 |
| Mailing Address |
909 E Camelback Rd Unit 3105 Phoenix AZ 85014-3699 |
| Practice Telephone | 6238821400 |
| Practice Fax Number | 6238821300 |
| Mailing Telephone | 5189520977 |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2019-11-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D009751 | AZ | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1819 W Dunlap Ave Ste 1, Phoenix, AZ 850214375 | 6028613333 | |
| 5835 E Still Cir, Mesa, AZ 852063618 | 4802488100 |
| Street Address |
15661 W ROOSEVELT ST STE 102 |
| City | GOODYEAR |
| State | AZ |
| Zip Code | 85338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295226884 | Caroline Chang | Dentist | 15530 W Roosevelt St Ste E106, Goodyear, AZ 85338 | 2018-05-20 |
| 1609376714 | Rosanna Alvarez | Licensed Practical Nurse | 17432 W Elaine Dr, Goodyear, AZ 85338 | 2018-02-15 |
| 1023534419 | Jennifer Elizabeth Lawrence Dixon | Social Worker | 319 N Lichfield Rd, Suite 105, Goodyear, AZ 85338 | 2017-08-17 |
| 1346774916 | Vanessa Castillo | Specialist/Technologist | 18035 W. Yuma Rd, Goodyear, AZ 85338 | 2017-04-20 |
| 1386008076 | Hope Behavioral Health Residential Care | Substance Abuse Rehabilitation Facility | 15985 W.williams Street, Goodyear, AZ 85338 | 2016-04-08 |
| 1417206897 | Kelly Renee Filo | Occupational Therapy Assistant | 10189 S. Hacienda Dr., Goodyear, AZ 85338 | 2012-08-31 |
| 1194015545 | Nancy Ann Amore | Licensed Practical Nurse | 15578 W Yuma Road, Goodyear, AZ 85338 | 2011-04-19 |
| 1932409208 | Chung Counihan | Pharmacist | 9890 S Estrella Parkway, Goodyear, AZ 85338 | 2010-11-02 |
| 1053611327 | Traven Anderson | Pharmacist | 9890 South Estrella Parkway, Goodyear, AZ 85338 | 2010-11-02 |
| 1891005492 | Glenda Sullivan | Respite Care | 10710 S. Morningside Dr, Goodyear, AZ 85338 | 2010-10-15 |
| Find all providers in zip 85338 | ||||
| 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 |
|---|---|---|---|---|
| 1982245676 | Canyon Family Dental LLC | Dentist | 500 N Estrella Pkwy Ste B1, Goodyear, AZ 85338-4136 | 2019-10-03 |
| 1396222352 | Roopinder Singh Mann | Dentist | 14175 W Indian School Rd Ste B6, Goodyear, AZ 85395-8490 | 2018-07-23 |
| 1316256902 | Cory Gene Wooff | Dentist | 781 S Cotton Ln, Suite 100, Goodyear, AZ 85338-4643 | 2010-09-29 |
| 1164739736 | Josh Whatcott | Dentist | 105 N Litchfield Road, Goodyear, AZ 85338 | 2010-09-02 |
| 1447487632 | Dc Dental, LLC | Dentist | 15661 W. Roosevelt Street, Suite 102, Goodyear, AZ 85338 | 2009-06-16 |
| 1629220579 | Goodyear Smiles, LLP | Dentist | 781 South Cotton Lane, Suite 100, Goodyear, AZ 85338 | 2008-10-22 |
| 1700032158 | Daniel Wolter | Dentist | 14940 W Indian School Rd Ste 450, Goodyear, AZ 85395-7308 | 2008-08-15 |
| 1689876476 | Jose R. Gonzales. D.d.s. P.C. | Dentist | 3060 N. Litchfield Road, Suite 110, Goodyear, AZ 85338 | 2007-06-04 |
| 1366565384 | Daniel Wolter Dmd Ms PC | Dentist | 14940 W Indian School Road, Suite 450, Goodyear, AZ 85338 | 2007-04-06 |
| 1851438063 | Westridge Dental Group, Ltd | Dentist | 3000 N Litchfield Rd, Ste 110, Goodyear, AZ 85338-7802 | 2007-01-30 |
| 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.