Dentist (Orthodontics and Dentofacial Orthopedics)

Address: 3750 W Greenway Rd, Phoenix, AZ 85053-3703

DENTAL DEPOT ORTHO GREENWAY PLLC (NPI# 1760076145) 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) 1760076145
Entity Type Organization
Practice Address 3750 W Greenway Rd
AZ 85053-3703
Practice Telephone 6024662202
Mailing Address 2828 Nw 30th St
Oklahoma City
OK 73112-7404
Mailing Telephone 6023122752
Certification Date 2021-02-25
Enumeration Date 2021-02-25
Last Update Date 2021-02-25
Authorized Official Telephone 6023122752
Is Organization Subpart N


Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
Y 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
193400000X SINGLE SPECIALTY GROUP Dental Providers

Other Provider/Organization Names

Other Name Type Code
Glenn A Ashmore DDS Sole MBR Other Name

Associated Endpoints

Endpoint Type Endpoint Affiliation Affiliation Address Use Content
CONNECT URL 2828 Nw 30th St, Oklahoma City, OK 731127404

Office Location

Street Address 3750 W GREENWAY RD
State AZ
Zip Code 85053-3703

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861001976 Anna Christine Livsey Dentist · General Practice 3750 W Greenway Rd, Phoenix, AZ 85053-3703 2020-07-24
1649895707 Parker Woodruff Dentist 3750 W Greenway Rd, Phoenix, AZ 85053-3703 2020-06-14
1902421159 John Robert Turke Dentist 3750 W Greenway Rd, Phoenix, AZ 85053-3703 2020-06-13
1427672690 Richard Charles Dawson Dentist · General Practice 3750 W Greenway Rd, Phoenix, AZ 85053-3703 2020-06-03
1538651542 Jeremy Todd Coles Dentist · General Practice 3750 W Greenway Rd, Phoenix, AZ 85053-3703 2018-06-05
1336678283 Jacob Holly Dentist · General Practice 3750 W Greenway Rd, Phoenix, AZ 85053-3703 2017-06-05

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1871065615 Valley Addiction & Mental Health Services LLC Nurse Practitioner · Psychiatric/Mental Health 16845 N. 29th Ave, Ste 1-211, Phoenix, AZ 85053 2018-12-18
1417439100 Amanda M Sherwin Dietitian, Registered 15640 N 28h Drive, Phoenix, AZ 85053 2018-08-30
1568970135 Sage Counseling, Inc. Community/Behavioral Health 2734 W Bell Rd., #1385 & 1390, Phoenix, AZ 85053 2018-01-17
1366966434 Penny L Reamer Registered Nurse · School 17624 N. 31st Ave., Phoenix, AZ 85053 2017-08-01
1043749302 Jacob Stephen Lawrence Occupational Therapy Assistant 3116 W. Hartford Dr., Phoenix, AZ 85053 2017-06-08
1770022923 Horizon Dental Group West Valley · Gentle Touch Family Dental Care Dentist 4025 W. Bell Road, Suite 20, Phoenix, AZ 85053 2017-02-21
1356799985 Samantha Ellis Nurse Practitioner · Pediatrics 15420 N 32nd Dr, Phoenix, AZ 85053 2016-05-24
1235594938 Linda Thi Trinh Optometrist 16020 North 35th Ave Suite #2, Phoenix, AZ 85053 2015-12-22
1003230301 Continuum Group West, LLC. · Continuum Advanced Healthcare Clinic/Center · Physical Therapy 3710 W Greenway Rd, Suite 104, Phoenix, AZ 85053 2014-02-07
1831539410 Michelle Lea Byers Nurse Practitioner · Pediatrics 17624 North 31st Ave, Phoenix, AZ 85053 2013-06-27
Find all providers in zip 85053

Taxonomy Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649874306 Chris J. Woolaver Dds Msc PC 4425 E Agave Rd Ste 126, Phoenix, AZ 85044-0621 2020-11-24
1558924415 Ahwatukee Orthodontic Associates Inc 16611 S. 40th Street, Suite 110, Phoenix, AZ 85048 2019-04-17
1538636766 David Hoffman Phoenix Orthodontics PC 5225 N 19th Ave Ste 8, Phoenix, AZ 85015-2903 2018-10-25
1881169233 Smile Straight Orthodontics - Greenway LLC 3229 E Greenway Rd Ste 101, Phoenix, AZ 85032-4508 2018-10-11
1336656024 Andrew Philip Serrano 1515 E Missouri Ave Ste 101, Phoenix, AZ 85014-2443 2018-01-04
1659829299 The Smyl Co 10 W Adams St, Phoenix, AZ 85003-2025 2016-09-12
1447706122 Benjamin Chiou 4803 E Ray Rd, P002c, Phoenix, AZ 85044-6496 2016-08-31
1659749190 Micheal Papademetriou 20950 N Tatum Blvd, 370, Phoenix, AZ 85050-4200 2015-09-14
1073980256 Tyler Coles · Premier Smiles Orthodontics 10000 N 31st Ave, 102 B, Phoenix, AZ 85051-9582 2015-08-24
1942688262 Hollywood Orthodontics 7611 W Thomas Rd, Suite E002, Phoenix, AZ 85033-5439 2015-05-07
Find all providers in PHOENIX


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Zip Code 85053

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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.