West Combs Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

WEST COMBS DENTAL LLC

Doing business as

Ironwood Dental

Practice address

35 W Combs Rd Ste 102
Queen Creek, AZ 85140-9102

Phone

(480) 712-8580

Fax

(480) 677-8620

NPI assigned

Aug 4, 2021

Organization subpart

No

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

Authorized official

Name

Faith Gaskins

Title

Credentialing Director

Phone

(972) 869-3789

Specialties & licenses 1

Addresses

Other names 1

• Ironwood Dental Doing business as

Locations

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628035200000",
    "number": "1164196960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 W COMBS RD STE 102",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851409102",
            "telephone_number": "480-712-8580",
            "fax_number": "480-677-8620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 W COMBS RD STE 102",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851409102",
            "telephone_number": "480-712-8580",
            "fax_number": "480-677-8620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COMBS DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-04",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A",
        "authorized_official_last_name": "GASKINS",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "CREDENTIALING DIRECTOR",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ironwood Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Breeane Wazney, MD
• Jessica Webb
• Lisa Lashelle Webster
• Keith Weisgerber, CSFA
• Kariessa Taylor Welch, FNP-C
• Carolyn West, NBC-HWC
• Amanda N Westergard, P.T., D.P.T.
• Elise Wheeler, PHARMD
• Diane Maree Whisler, MSW LCSW
• Michael John White, RPH

• General Practice Dentistry in Queen Creek, AZ
• Providers in Queen Creek, 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 Aug 4, 2021; 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.