NPIMap

Organization Active NPI

Synergy Dental Group, PLC

  • Dental Hygienist
  • Mesa, AZ
National Provider Identifier
1093967945
Registry record updated May 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
Legal business name
SYNERGY DENTAL GROUP, PLC
Practice address
3549 E Brown Rd Ste 104
Mesa, AZ 85213-5508
Phone
(480) 830-2956
Fax
(480) 830-3019
NPI assigned
Oct 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2011

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

Authorized official

Name
Dr. Laurence Scott Adams, DDS
Title
Manager
Phone
(480) 830-2956

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental HygienistGroup: 193400000X SINGLE SPECIALTY GROUP 124Q00000X Primary

Addresses

Primary practice location

3549 E Brown Rd Ste 104
Mesa, AZ 85213-5508

Mailing address

3549 E Brown Rd
Suite #104
Mesa, AZ 85213-5508
Phone (480) 830-2956

National Provider Directory

National Provider Directory

Locations

3549 E Brown Rd
Ste 104
Mesa, AZ 85213
Phone (480) 830-2956

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304899200000",
    "number": "1093967945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3549 E BROWN RD",
            "address_2": "SUITE #104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852135508",
            "telephone_number": "480-830-2956",
            "fax_number": "480-830-3019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3549 E BROWN RD STE 104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852135508",
            "telephone_number": "480-830-2956",
            "fax_number": "480-830-3019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY DENTAL GROUP, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-22",
        "last_updated": "2011-05-09",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-830-2956",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2011; 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.