Thielen Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

THIELEN DENTAL LLC

Practice address

5911 W Baseline Rd Ste B-100
Laveen, AZ 85339-2810

Phone

(602) 281-1172

NPI assigned

Jul 17, 2024

Organization subpart

No

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

Authorized official

Name

Valerie Hamilton

Title

Director, Payor Strategy

Phone

(315) 410-5531

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brandon T Price, DMD

  • General Practice Dentistry
  • Phoenix, AZ
  • NPI 1093208175
  NPD (past)
• Scott Rode, DMD

  • Dentist
  • Phoenix, AZ
  • NPI 1457976649

  General Practice

  NPD (past)
• Dositej Stulic, D.D.S.

  • Dentist
  • Glendale, AZ
  • NPI 1851512123

  General Practice

  NPD (past)

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1649018417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70887",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441900887",
            "telephone_number": "315-410-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5911 W BASELINE RD STE B-100",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853392810",
            "telephone_number": "602-281-1172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIELEN DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "DIRECTOR, PAYOR STRATEGY",
        "authorized_official_telephone_number": "315-410-5531"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rout Thac
• Sherilyn Thac
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• The Family House, LLC
• Therapro Physical Therapy Services, LLC
• Chanisee Thomas
• Howard L Thomas, BH8703
• Juanita Lee Thomas
• Rebecca U Thomas, NP-C
• Dennis Tolliver

• General Practice Dentistry in Laveen, AZ
• Providers in Laveen, 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 17, 2024; 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.