DENTAL ONE, INC. (NPI# 1982781027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982781027 |
| Entity Type | Organization |
| Organization Name | DENTAL ONE, INC. |
| Other Organization Name | DESERT FAMILY DENTAL |
| Practice Address |
1911 W Main St Suite 6 Mesa AZ 85201-6929 |
| Mailing Address |
17300 Dallas Pkwy Ste 1070 Dallas TX 75248-1145 |
| Practice Telephone | 4808384185 |
| Practice Fax Number | 4808388746 |
| Mailing Telephone | 9727550800 |
| Mailing Fax Number | 9727550890 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2009-04-20 |
| Authorized Official Name | JOHN EVERETT BALLARD (CIO) |
| Authorized Official Telephone | 9727550800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
18458 | TX | Dental Providers |
| Other Name | Type Code |
|---|---|
| Desert Family Dental | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578706891 | Dental One, Inc. | Dentist | 2434 E. Baseline Rd., Suite 104, Phoenix, AZ 85042-7088 | 2009-04-16 |
| 1134206170 | Dental One, Inc. | Dentist | 5055 W. Ray Road, Suite 17, Chandler, AZ 85226 | 2006-11-01 |
| 1124105291 | Dental One, Inc. | Dentist | 10827 S. 51st St., Suite 201, Phoenix, AZ 85044-4310 | 2006-11-01 |
| 1144307281 | Dental One, Inc. | Dentist | 3061 W Apache Trl, Suite 1, Apache Junction, AZ 85220-3623 | 2006-11-01 |
| 1215014261 | Dental One, Inc. | Dentist | 20359 N. 59th Ave., Suite 101, Glendale, AZ 85308-6857 | 2006-11-01 |
| 1861579906 | Dental One, Inc. | Dentist | 6671 E Baseline Rd, Suite 123, Mesa, AZ 85206-4328 | 2006-11-01 |
| 1669559738 | Dental One, Inc. | Dentist | 8249 W Thunderbird Rd, Suite 110, Peoria, AZ 85381-4601 | 2006-11-01 |
| 1689755142 | Dental One, Inc. | Dentist | 1229 E. Mckellips Road, #106, Mesa, AZ 85203-2725 | 2006-10-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Dental One, Inc. | 7160 N. Dallas Parkway, Suite 400, Plano, TX 75024 |
| Indiana Business Entities | DENTAL ONE, INC. | 6200 Oak Tree Blvd, Suite 200, Independence, OH 44131 |
| Street Address |
1911 W MAIN ST SUITE 6 |
| City | MESA |
| State | AZ |
| Zip Code | 85201-6929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295163418 | Desert Family Dental | Dentist | 1911 W Main St, #6, Mesa, AZ 85201-6929 | 2013-10-25 |
| 1366670937 | Kimberly Ann Moran | Dental Hygienist | 1911 W Main St, Suite 6, Mesa, AZ 85201-6929 | 2009-06-23 |
| 1427213172 | Scott Ryan Lee | Dentist | 1911 W Main St, Suite 6, Mesa, AZ 85201-6929 | 2008-07-22 |
| 1083839088 | Melanie Baker | Dental Hygienist | 1911 W Main St, Ste 6, Mesa, AZ 85201-6929 | 2007-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174141980 | Arch Hospice, LLC. | Hospice Care, Community Based | 1209 N. Country Club Dr., Ste. 1, Mesa, AZ 85201 | 2020-07-08 |
| 1861025876 | Summit Bhc Mesa LLC | Clinic/Center | 846 North Center Street Suite 101, Mesa, AZ 85201 | 2020-02-18 |
| 1427600774 | Coleen Chatter | Counselor | 711 N. Evergreenrd. Apt#2088, Mesa, AZ 85201 | 2019-07-16 |
| 1013487800 | Akos Live | Family Medicine | 1902 W. Main Street, Mesa, AZ 85201 | 2018-12-05 |
| 1760990329 | Sage Counseling, Inc. | Community/Behavioral Health | 460 N. Mesa Drive, Suites 207 and 209, Mesa, AZ 85201 | 2018-01-17 |
| 1336590025 | Horizon Health and Wellness, Inc. | Assisted Living Facility | 453 West Sunset Circle, Mesa, AZ 85201 | 2016-06-24 |
| 1356711279 | Cheryl Agosto | Registered Nurse | 1025 N. Country Club Dr, Mesa, AZ 85201 | 2015-10-05 |
| 1861877961 | Richard Roble | Speech-Language Pathologist | 125 N. Country Club Dr., Mesa, AZ 85201 | 2015-07-30 |
| 1326440991 | Demetria Harris | Counselor | 455 N. Mesa Drive #11, Mesa, AZ 85201 | 2014-09-25 |
| 1588002489 | Zhen Liu | Acupuncturist | 210n. Center St, #102, Mesa, AZ 85201 | 2013-06-13 |
| Find all providers in zip 85201 | ||||
| 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.