Pleasant Dental Partners PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D2700 Issued in AZ

Legal business name

PLEASANT DENTAL PARTNERS PC

Doing business as

Nice Nice Dental

Practice address

9772 W Yearling Rd Ste A1680
Peoria, AZ 85383-1380

Phone

(623) 825-0616

Fax

(623) 825-0786

NPI assigned

Jan 11, 2012

Last updated

Jan 12, 2012By 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. Philip Luther Cooke, D.D.S.

Title

President

Phone

(623) 825-0616

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Nice Nice Dental Doing business as

Locations

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1598035214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9772 W YEARLING RD STE A1680",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853831380",
            "telephone_number": "623-825-0616",
            "fax_number": "623-825-0786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9772 W YEARLING RD STE A1680",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853831380",
            "telephone_number": "623-825-0616",
            "fax_number": "623-825-0786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT DENTAL PARTNERS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "COOKE",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "LUTHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-825-0616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D2700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1245265032",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nice Nice Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Peoria, AZ
• Providers in Peoria, 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 Jan 12, 2012; 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.