Superstition Mountain Dental, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SUPERSTITION MOUNTAIN DENTAL, INC.

Practice address

5331 S. Superstition Springs Dr.
Ste. 108
Gold Canyon, AZ 85218

Phone

(480) 671-7777

Fax

(481) 671-7785

NPI assigned

Dec 11, 2006

Organization subpart

No

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

Authorized official

Name

Jonathan G. Lovell, DMD

Title

President

Phone

(480) 671-7777

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629138367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5331 S. SUPERSTITION SPRINGS DR.",
            "address_2": "STE. 108",
            "city": "GOLD CANYON",
            "state": "AZ",
            "postal_code": "85218",
            "telephone_number": "480-671-7777",
            "fax_number": "481-671-7785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5331 S. SUPERSTITION SPRINGS DR.",
            "address_2": "STE. 108",
            "city": "GOLD CANYON",
            "state": "AZ",
            "postal_code": "85218",
            "telephone_number": "480-671-7777",
            "fax_number": "481-671-7785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERSTITION MOUNTAIN DENTAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOVELL",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-671-7777",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southwest DME, LLC.
• Vivian Stock, PHARM D.
• Stripes Urgent Care, LLC
• Lori Sullivan, MSPT
• Superstition Chiropractic Center PLLC
• Mark D. Tenborg, NMD
• Triad Pain Management Group, PLLC
• William Duffy Troutt, NMD
• Disha Vasoya
• Virginia S Rowland MD PC

• General Practice Dentistry in Gold Canyon, AZ
• Providers in Gold Canyon, 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 22, 2020; 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.