Dentistry Group Foundation, LLC

Primary specialty

DentistTaxonomy code 122300000X

License

D5988 Issued in AZ

Legal business name

DENTISTRY GROUP FOUNDATION, LLC

Doing business as

Valleywide Sunshine Dental Care

Practice address

6328 E Brown Rd
Suite 101-102
Mesa, AZ 85205-4841

Phone

(480) 325-5700

Fax

(480) 325-5727

NPI assigned

Jan 3, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Fawne Elizabeth Pryor

Title

Insurance Manager

Phone

(602) 944-0073

Specialties & licenses 1

Addresses

Other names 1

• Valleywide Sunshine Dental Care Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yen Chun Wang, DDS

  • Dentist
  • Mesa, AZ
  • NPI 1497812606
  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235286469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 W MESCAL ST",
            "address_2": "SUITE 205",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294764",
            "telephone_number": "602-944-0073",
            "fax_number": "602-944-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6328 E BROWN RD",
            "address_2": "SUITE 101-102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054841",
            "telephone_number": "480-325-5700",
            "fax_number": "480-325-5727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTRY GROUP FOUNDATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRYOR",
        "authorized_official_first_name": "FAWNE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "INSURANCE MANAGER",
        "authorized_official_telephone_number": "602-944-0073"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D5988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valleywide Sunshine Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dental One, Inc.
• Dental One, Inc. (Desert Family Dental)
• Dental Progressions PLLC
• Dental Specialty Group Inc
• Dentistry for Children PLLC
• Dentists of Mesa, LLP (Dentists of Mesa)
• Dentists of North Mesa, LLP
• Sharla Denton, BHP
• Denver J. Palmer, D.M.D., P.C. (Red Mountain Dental)
• Dara Corrine Denzer, NMD

• Dentist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.