Sun City Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D6249 Issued in AZ

Legal business name

SUN CITY FAMILY DENTISTRY

Practice address

10228 W Coggins Dr
Sun City, AZ 85351-3421

Phone

(623) 972-1558

NPI assigned

Apr 2, 2007

Last updated

Aug 13, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Agnieszka Wawerska, DDSNPI 1801935754

Title

DDS

Phone

(623) 972-1558

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Agnieszka Wawerska, D.D.S.

  • General Practice Dentistry
  • Phoenix, AZ
  • NPI 1801935754
  NPD (past) Authorized official

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439424000000",
    "number": "1528189248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2826 N 151ST AVE",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853382061",
            "telephone_number": "623-535-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10228 W COGGINS DR",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513421",
            "telephone_number": "623-972-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN CITY FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2015-08-13",
        "status": "A",
        "authorized_official_last_name": "WAWERSKA",
        "authorized_official_first_name": "AGNIESZKA",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "623-972-1558",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D6249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "151409",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sun City Care
• Sun City Dental Care
• Sun City Dental PLLC (Smile Sun City)
• Sun City Dialysis Center LLC (Palm Brook Dialysis Center)
• Sun City Electrophysiology, LLC
• Sun City Fire District (Sun City Fire and Medical Department)
• Sun City Fire District
• Sun City Fish LLC (Home Instead)
• Sun City Imaging, P.C.
• Sun City Internal Medicine PLLC

• General Practice Dentistry in Sun City, AZ
• Providers in Sun City, 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 Aug 13, 2015; 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.