Kids Dental , P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6399 Issued in AZ

Legal business name

KIDS DENTAL , P.C.

Doing business as

Kids Dental Place

Practice address

9515 W Camelback Rd
#140
Phoenix, AZ 85037-1355

Phone

(623) 872-2662

Fax

(602) 956-2209

NPI assigned

Sep 28, 2009

Organization subpart

Yes

Parent organization

KIDS DENTAL PLACEAs reported in NPPES

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

Authorized official

Name

George Raymond Ayoub, D.D.S.

Title

Doctor

Phone

(602) 956-2024

Specialties & licenses 1

Addresses

Other names 1

• Kids Dental Place Doing business as

Part of

Nba Dental Group PC

Locations

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

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254096000000",
    "number": "1194059931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9515 W CAMELBACK RD",
            "address_2": "#140",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850371355",
            "telephone_number": "623-872-2662",
            "fax_number": "602-956-2209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9515 W CAMELBACK RD",
            "address_2": "#140",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850371355",
            "telephone_number": "623-872-2662",
            "fax_number": "602-956-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS DENTAL , P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KIDS DENTAL PLACE",
        "enumeration_date": "2009-09-28",
        "last_updated": "2009-09-28",
        "status": "A",
        "authorized_official_last_name": "AYOUB",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "602-956-2024",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "6399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids Dental Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tiffany Kidd, NP
• William H Kidd, M.D.
• Kidney Care at Home LLC
• Kids and Family Kare LLC
• Kids Connection Pediatrics
• Kids Dental Spot PLLC
• Kids First Therapy Arizona PLLC
• Kids Instruction for Developmental Services, LLC
• Kids Integrative Norterra Dentistry, LLC (Kids Dental Norterra)
• Kids Kare Pediatrics

• General Practice Dentistry in Phoenix, AZ
• Providers in Phoenix, 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 Sep 28, 2009; 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.