Gantzel Dental Center

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

GANTZEL DENTAL CENTER

Practice address

36327 N Gantzel Rd Ste 104
San Tan Valley, AZ 85140-7328

Phone

(480) 818-3177

NPI assigned

Oct 29, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Charles Wesley Culler, DMD

Title

Dentist

Phone

(480) 818-3177

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540771200000",
    "number": "1467929448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36327 N GANTZEL RD STE 104",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851407328",
            "telephone_number": "480-818-3177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36327 N GANTZEL RD STE 104",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851407328",
            "telephone_number": "480-818-3177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GANTZEL DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-29",
        "last_updated": "2018-10-29",
        "status": "A",
        "authorized_official_last_name": "CULLER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "480-818-3177",
        "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": []
}

• Fry'S Pharmacy
• Michael Szu-Kai Fuh
• Nathaniel D Fulton, NMD
• G-Life Family Health and Wellness
• Ashley Lynch Gaede, LPC
• Brooke Gavin, RD
• Karly George
• Dustin M Germaine
• Tora J Gerrick, CNM
• Diane Getz, COTA/L

• Dental Clinic/Center in San Tan Valley, AZ
• Providers in San Tan Valley, 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 Oct 29, 2018; 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.