Birch Tree Pediatric Dentistry PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

BIRCH TREE PEDIATRIC DENTISTRY PLLC

Practice address

22363 E Domingo Rd Ste 104
Queen Creek, AZ 85142-0353

Phone

(480) 896-7800

NPI assigned

Mar 5, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Creech III, DMDNPI 1871950071

Title

Doctor/Owner

Phone

(480) 896-7800

Specialties & licenses 1

Addresses

Other names 1

• Birch Tree Pediatric Dentistry Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Creech, DMD

  • Pediatric Dentistry
  • Queen Creek, AZ
  • NPI 1871950071
  NPD Authorized official

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1255198388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22363 E DOMINGO RD STE 104",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851420353",
            "telephone_number": "480-896-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22363 E DOMINGO RD STE 104",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851420353",
            "telephone_number": "480-896-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRCH TREE PEDIATRIC DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "CREECH",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "480-896-7800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Birch Tree Pediatric Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Kendree Brinae Bitter, MAS-LAMFT
• Paul N Black, ED.S.
• Jacqueline Blanch, APRN
• Audrey Blanchette
• Cameron Weaver Blyth, D.M.D

• Pediatric Dentistry in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• Pediatric Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.