Pacific Dental Services Foundation
Physician Assistant (Medical)

Address: 4559 E. Bell Road, Ste 106, Phoenix, AZ 85032
Phone: 7148458500

Pacific Dental Services Foundation (NPI# 1659848208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1659848208
Entity Type Organization
Organization Name PACIFIC DENTAL SERVICES FOUNDATION
Practice Address 4559 E. Bell Road, Ste 106
Phoenix
AZ 85032
Practice Telephone 7148458500
Practice Fax Number 3039520892
Mailing Address 17000 Red Hill Ave
Irvine
CA 92614-5626
Mailing Telephone 7148458500
Authorized Official Name Jack Dillenberg (OWNER)
Authorized Official Telephone 7148458500
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2018-10-31
Last Update Date 2019-03-28

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363AM0700X Physician Assistant · Medical Physician Assistants & Advanced Practice Nursing Providers

Other Provider/Organization Names

Other Name Type Code
PDS Foundation Dentists for Special Needs Doing Business As Name - Organization

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073121505 Alexandra R Koolmees Physician Assistant 1141 E Village Circle Dr S, Phoenix, AZ 85022-4818 2020-07-21
1568080620 Manuel Gerardo Pompa Physician Assistant 3848 N 3rd Ave Unit 3071, Phoenix, AZ 85013-3472 2020-07-06
1568925865 Christine Marie Fleming Physician Assistant 3800 E Sky Harbor Blvd # 4, Phoenix, AZ 85034-3712 2019-04-12
1124502372 Amanda Rose Jones Physician Assistant 36427 N 14th St, Phoenix, AZ 85086-7506 2018-09-23
1639681745 Martha Lopez Physician Assistant 7010 E Chauncey Ln Ste 210, Phoenix, AZ 85054-3115 2017-10-30
1386153674 Emily Meredith Eoff Physician Assistant 301 W Pasadena Ave Apt 4, Phoenix, AZ 85013-2342 2017-09-29
1659890754 Greg Horn Physician Assistant 20333 N 19th Ave Ste 230, Phoenix, AZ 85027-9901 2017-09-11
1619407269 Integrative Natural Medicine Physician Assistant 2025 E Campbell Ave, #259, Phoenix, AZ 85016-8501 2017-06-15
1174996870 Jyoti Sharma Physician Assistant 13838 S 46th Pl Ste 120, Phoenix, AZ 85044-7801 2015-11-04
1487025086 Shaye Harrel Physician Assistant 9305 W Thomas Rd Ste 478, Phoenix, AZ 85037-3375 2015-10-08
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Office Location

Street Address 4559 E. BELL ROAD, STE 106
City PHOENIX
State AZ
Zip Code 85032

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689298838 Eboni Nicole Morris Psychologist 166001 N. 40th St., Suite 210, Phoenix, AZ 85032 2020-06-03
1326688573 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 3227 E Bell Road, Suite 170, Room P1, Phoenix, AZ 85032 2020-01-15
1740836642 Integrated Medical Services Inc Anesthesiology 3815 W Bell Rd, Ste 3200, Phoenix, AZ 85032 2019-08-15
1639739576 Sarah Martin Physical Therapy Assistant Ridgecrest Healthcare, 16640 North 38th Street, Phoenix, AZ 85032 2019-06-13
1750846168 Conte Sport Performance Therapy LLC Physical Therapist 18413 N. Cave Creed Rd, Suite 8, Phoenix, AZ 85032 2019-02-11
1083100812 Phoenix Interventional Pain Management, Pllc Anesthesiology 3815 E Bell Rd Ste 3500a, Phoenix, AZ 85032 2018-07-04
1770074635 Np Professional LLC Clinic/Center 3329 E Bell Rd Ste A1, Phoenix, AZ 85032 2018-05-25
1932600020 North Phoenix Asc LLC Clinic/Center 3329 E Bell Rd Ste A2-a5, Phoenix, AZ 85032 2018-02-23
1396263307 Cheryl Anne Miller Registered Nurse 15002 N. 32nd St., Phoenix, AZ 85032 2017-08-30
1518480896 Katherine Smith Massage Therapist 4242 E Cactus Rd, Apt 432, Phoenix, AZ 85032 2017-07-19
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Competitor

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City PHOENIX
Zip Code 85032

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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.