Core Family Dental, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CORE FAMILY DENTAL, LLC

Practice address

13460 N 94TH Dr Ste K4
Peoria, AZ 85381-4249

Phone

(623) 223-1036

NPI assigned

May 24, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Antonio Quintana

Title

Ceo

Phone

(480) 889-9457

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1590278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590278400000",
    "number": "1013530187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4435 E HOLMES AVE STE 200",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852063314",
            "telephone_number": "480-889-9457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13460 N 94TH DR STE K4",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814249",
            "telephone_number": "623-223-1036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE FAMILY DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-24",
        "last_updated": "2020-05-24",
        "certification_date": "2020-05-24",
        "status": "A",
        "authorized_official_last_name": "QUINTANA",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-889-9457"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blair W. Copp, DC
• Copper Sky Dental, PLLC
• Gregory J Cordes, PA
• Ellen Diane Cordova, PA-C
• Core Family Dental
• Debra Sharene Corley, DNP, RN, AGNP-C
• Marisa Christina Cornejo, MD
• Cornerstone Chiropractic Clinic, LLC
• Cornerstone Mobile Imaging
• Corona Healthcare LLC

• General Practice Dentistry in Peoria, AZ
• Providers in Peoria, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.