Gary D Oreskovich, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

AZ3579 Issued in AZ

Practice address

1526 W Glendale Ave
Ste.107
Phoenix, AZ 85021-8576

Phone

(602) 995-7279

Fax

(602) 995-7244

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221091200000",
    "number": "1295846178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1526 W GLENDALE AVE",
            "address_2": "STE.107",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850218576",
            "telephone_number": "602-995-7279",
            "fax_number": "602-995-7244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 W GLENDALE AVE",
            "address_2": "STE.107",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850218576",
            "telephone_number": "602-995-7279",
            "fax_number": "602-995-7244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORESKOVICH",
        "first_name": "GARY",
        "middle_name": "D",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "AZ3579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Lyn G Ordynsky, O.D.
• George Ordynsky, OD
• Oren Tessler MD LLC
• Robert Orenstein, DO
• Susan E Oreshack, DPT
• Orest G Komarnyckyj DDS PC
• David Oriabure
• Rosine Oriabure, DNP, PMHNP-BC
• Oriana Haddad DMD PLLC
• Taylor Oribello, LMFT

• 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 11, 2008; 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.