Greenfield Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GREENFIELD DENTAL PLLC

Practice address

107 N. Greenfield Rd.
Ste. #2
Mesa, AZ 85205-7802

Phone

(480) 832-5190

Fax

(480) 654-9900

NPI assigned

Aug 2, 2013

Last updated

Aug 2, 2013By 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. Brannon Jay Gunnell, DDS

Title

Owner

Phone

(480) 832-5190

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375401600000",
    "number": "1558793430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 N GREENFIELD RD",
            "address_2": "SUITE 2",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852057802",
            "telephone_number": "480-832-5190",
            "fax_number": "480-654-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 N. GREENFIELD RD.",
            "address_2": "STE. #2",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852057802",
            "telephone_number": "480-832-5190",
            "fax_number": "480-654-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENFIELD DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-02",
        "last_updated": "2013-08-02",
        "status": "A",
        "authorized_official_last_name": "GUNNELL",
        "authorized_official_first_name": "BRANNON",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-832-5190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "7304",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "2564",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "7577",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Marie Green
• Cassandra Greene, LAC
• Intissar Ann Greene
• Kimberley A Greene, RN BSN
• Roxanne Nicole Greene
• Greenfield Family Medicine LLC
• Greenfields Assisted Living LLC (Greenfield Assisted Living Community)
• Daryl Greenhall, PA
• Madeline Amelia Greenlief, PA
• Scott David Michael Greenman, D.O.

• General Practice Dentistry in Mesa, AZ
• Providers in Mesa, 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 2, 2013; 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.