Michael G. Nadauld, DMD PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MICHAEL G. NADAULD, DMD PLLC

Practice address

1526 W Glendale Ave Ste 102
Phoenix, AZ 85021-8576

Phone

(602) 995-7279

NPI assigned

Feb 19, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Michael G Nadauld, DMDNPI 1972986263

Title

Owner

Phone

(801) 641-0565

Specialties & licenses 1

Addresses

Other names 1

• Dental 32 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.

• Michael Greg Nadauld, DMD

  • Dentist
  • Phoenix, AZ
  • NPI 1972986263
  NPD Authorized official

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

{
    "created_epoch": "1613692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613692800000",
    "number": "1235722331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1526 W GLENDALE AVE STE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850218576",
            "telephone_number": "602-995-7279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 W GLENDALE AVE STE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850218576",
            "telephone_number": "602-995-7279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL G. NADAULD, DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-19",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A",
        "authorized_official_last_name": "NADAULD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-641-0565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental 32",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Camilla Ann Mican, MD
• Amy Elizabeth Miceli, PA-C
• Micgra Psych
• Michael B. Lebowitz DDS PC
• Michael D Dersam MD PC
• Michael J Brennan MD PC
• Michael J Sekosky
• Michael J. Radcliffe, DMD,PC
• Michael K Ofori MD PC
• Michael Levy DDS PC

• Dental Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.