A G Corp Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D008962 Issued in AZ

Legal business name

A G CORP INC

Doing business as

Dentistry at Greenway

Practice address

16630 W Greenway Rd
Suite 319
Surprise, AZ 85388-2185

Phone

(623) 582-9622

Fax

(623) 537-5430

NPI assigned

Nov 10, 2015

Organization subpart

No

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

Authorized official

Name

Taroll Ann Graziano, BS

Title

Insurance Coordinator

Phone

(623) 582-9622

Specialties & licenses 1

Addresses

Other names 1

• Dentistry at Greenway Doing business as

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447113600000",
    "number": "1164895306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16630 W GREENWAY RD",
            "address_2": "SUITE 319",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853882185",
            "telephone_number": "623-582-9622",
            "fax_number": "623-537-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16630 W GREENWAY RD",
            "address_2": "SUITE 319",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853882185",
            "telephone_number": "623-582-9622",
            "fax_number": "623-537-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A G CORP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-10",
        "last_updated": "2015-11-10",
        "status": "A",
        "authorized_official_last_name": "GRAZIANO",
        "authorized_official_first_name": "TAROLL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "623-582-9622",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D008962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentistry at Greenway",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Surprise, AZ
• Providers in Surprise, 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 Nov 10, 2015; 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.