Mosaic Dentistry PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5248 Issued in AZ

Legal business name

MOSAIC DENTISTRY PC

Practice address

290 W Chandler Heights Rd
Suite 3
Chandler, AZ 85248-5055

Phone

(480) 883-0222

Fax

(480) 883-0332

NPI assigned

Oct 23, 2008

Last updated

Oct 23, 2008By 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. Samuel Peter Dominick III, D.D.S.

Title

President/Manager

Phone

(480) 821-8284

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224720000000",
    "number": "1699928523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2933 S HOLGUIN WAY",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852863906",
            "telephone_number": "480-821-8284",
            "fax_number": "480-821-8284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 W CHANDLER HEIGHTS RD",
            "address_2": "SUITE 3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852485055",
            "telephone_number": "480-883-0222",
            "fax_number": "480-883-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-23",
        "last_updated": "2008-10-23",
        "status": "A",
        "authorized_official_last_name": "DOMINICK",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT/MANAGER",
        "authorized_official_telephone_number": "480-821-8284",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "5248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeannine V Morrone-Strupinsky, PH.D.
• Angela Marie Morrone, ACNPC-AG
• Nalah E'Linda Morrow, CNM
• Courtney Lemon Mortensen, PA-C
• Alexa Morton
• Mosaic Minds LLC
• Tionna Mosley
• Brian Moss, MPT
• Kasey Moss
• Homan Mostafavi, D.O.

• General Practice Dentistry in Chandler, AZ
• Providers in Chandler, 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 Oct 23, 2008; 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.