PHOENIX FAMILY DENTISTRY
Dentist

Address: 205 N Phoenix Rd Ste Y, Phoenix, OR 97535-9106

PHOENIX FAMILY DENTISTRY (NPI# 1265027304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265027304
Entity Type Organization
Organization Name PHOENIX FAMILY DENTISTRY
Practice Address 205 N Phoenix Rd Ste Y
Phoenix
OR 97535-9106
Practice Telephone 5415354142
Practice Fax Number 5415353415
Mailing Address 205 N Phoenix Rd Ste Y
Phoenix
OR 97535-9106
Mailing Telephone 5415354142
Mailing Fax Number 5415353415
Certification Date 2021-03-04
Enumeration Date 2021-03-01
Last Update Date 2021-03-04
Authorized Official Telephone 5415354142
Authorized Official Credential DMD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
Y 122300000X Dentist 193400000X SINGLE SPECIALTY GROUP Dental Providers

Other Provider Identifiers

Identifier State Issuer Type Code
1437230521 OR NPI Other

Associated Endpoints

Endpoint Type Endpoint Affiliation Affiliation Address Use Content
Direct Messaging Address team@smilesphoenix.com 205 N Phoenix Rd Ste Y, Phoenix, OR 975359106 Health Information Exchange (HIE)

Office Location

Street Address 205 N PHOENIX RD STE Y
City PHOENIX
State OR
Zip Code 97535-9106

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1770196016 La Clinica Del Valle Family Healthcare Center Inc. Clinic/Center · Federally Qualified Health Center (FQHC) 106 N. Rose Street, Phoenix, OR 97535 2020-08-26
1760972160 Jennifer L Burke Counselor · Addiction (Substance Use Disorder) 149 N Main Street, Phoenix, OR 97535 2018-05-11
1124552872 Desiree Thompson Counselor · Addiction (Substance Use Disorder) 149 N Main St, Phoenix, OR 97535 2017-04-19
1417318577 Brent M Gordon Counselor · Addiction (Substance Use Disorder) 5505 S Pacific Hwy, Phoenix, OR 97535 2016-03-16
1740649821 Elizabeth Van Driel Counselor · Mental Health 149 N Main Street, Phoenix, OR 97535 2016-02-17
1740611458 William Allen Haden Jr. · William Allen Haden Jr. Social Worker · Clinical 106 N. Rose Street, Phoenix, OR 97535 2013-12-05
1821333402 La Clinica Del Valle Family Health Care Center Inc. · La Clinica School-Based Health Center At Phoenix Elementary School Clinic/Center · Federally Qualified Health Center (FQHC) 215 N Rose St, Phoenix, OR 97535 2012-12-07
1528396470 Sarah Bly Midwife, Lay 509 5th St., Phoenix, OR 97535 2009-12-03
1992961239 Stephen J Brummett Counselor · Addiction (Substance Use Disorder) 482 Elm St, Phoenix, OR 97535 2008-08-06
1376716571 Phoenix Counseling Center, Inc. Community/Behavioral Health 149 S Main St, Phoenix, OR 97535 2008-04-08
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881281889 Ts Dental Management LLC 4530 E Ray Rd Ste 170, Phoenix, AZ 85044-6097 2020-12-23
1851990444 Shaveta Behl 320 E Mcdowell Rd Ste 221, Phoenix, AZ 85004-4516 2020-10-23
1083212575 Rasha Adil Abduljabbar Al-Kaabi 4750 E Union Hills Dr Apt 1076, Phoenix, AZ 85050-3366 2020-10-15
1912510678 Nicholas Ahn 1550 E Campbell Ave Apt 3028, Phoenix, AZ 85014-4271 2020-08-24
1326659087 Triple Eight Dental Group, Pllc 7910 W Thomas Rd Ste 118, Phoenix, AZ 85033-4830 2020-08-14
1376154450 Hatcher Dental Studio 421 W Hatcher Rd # 101, Phoenix, AZ 85021-2455 2020-08-12
1780294892 Xo Dentistry - Az P.C. 4138 W Northern Ave, Phoenix, AZ 85051-5765 2020-08-04
1154949550 Alexander Clark Brimley 4317 E Mcdowell Rd, Phoenix, AZ 85008-4501 2020-07-12
1396363362 Emily Wen-Hui Wu 3101 W Indian School Rd, Phoenix, AZ 85017-4035 2020-07-07
1811515885 Robert James Koch 2236 W Bethany Home Rd Ste 1, Phoenix, AZ 85015-1934 2020-07-07
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Competitor

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City PHOENIX
Zip Code 97535

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Dataset Information

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.