Daniel Wolter DMD Ms PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D6646 Issued in AZ

Legal business name

DANIEL WOLTER DMD MS PC

Practice address

14940 W Indian School Road
Suite 450
Goodyear, AZ 85338

Phone

(623) 536-6789

Fax

(623) 536-6543

NPI assigned

Apr 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Wolter, DMD MSNPI 1700032158

Title

President-Dentist

Phone

(623) 536-6789

Specialties & licenses 1

Addresses

Other names 1

• Millennium Dental Arts 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.

• Daniel Wolter, DMD, MS

  • General Practice Dentistry
  • Goodyear, AZ
  • NPI 1700032158
  NPD (past) Authorized official

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262131200000",
    "number": "1366565384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 W ORCHARD LN",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853405076",
            "telephone_number": "623-337-7542",
            "fax_number": "623-792-8959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14940 W INDIAN SCHOOL ROAD",
            "address_2": "SUITE 450",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "85338",
            "telephone_number": "623-536-6789",
            "fax_number": "623-536-6543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL WOLTER DMD MS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2009-12-30",
        "status": "A",
        "authorized_official_last_name": "WOLTER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT-DENTIST",
        "authorized_official_telephone_number": "623-536-6789",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD MS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D6646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Millennium Dental Arts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Louise Cyr, B.S.
• Angellicia Vanessa D'Anjou, LIAC
• Michel Dagher, D.O.
• Susan Nicole Damico, CFNP
• Judy Dang
• Ardell Clay Daniels
• Paige Allison Daniels, PA-C
• Dark Horse Recovery
• Darrin D. Scherer, D.O., PC
• Darrin M Saikley, MD, PC

• General Practice Dentistry in Goodyear, AZ
• Providers in Goodyear, 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 Dec 30, 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.