DDL Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DDL DENTAL

Practice address

15416 N 99TH Ave
Sun City, AZ 85351-1962

Phone

(623) 875-7917

NPI assigned

Nov 6, 2007

Last updated

Jul 21, 2022By 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

Amanda Bisetti

Title

Owner

Phone

(623) 875-7917

Specialties & licenses 1

Addresses

Other names 1

• Direct Dentures Former legal business name

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.

• Sergio Gomes de Souza, DDS

  • Dentist
  • Sun City, AZ
  • NPI 1952778532

  General Practice

  NPD (past)

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1578743753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15416 N 99TH AVE",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853511962",
            "telephone_number": "623-875-7917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15416 N 99TH AVE",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853511962",
            "telephone_number": "623-875-7917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DDL DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BISETTI",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-875-7917"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Direct Dentures",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Angela Venetta Davis, FNP-C
• Carol K Davis, L.M.T.
• Kerry Davis
• Michelle R Davis, AGACNP
• Eric Day, PA-C
• Quinn Esden De la Concepcion, DPT
• Stephanie Dianne De Santiago
• Debjoti Sensharma MD PLLC
• Melissa Dehaan
• Vito Del Deo, M.D.

• 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 Jul 21, 2022; 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.