Active NPI
HDP Wolff Dental LLC
- General Practice Dentistry
- Queen Creek, AZ
National Provider Identifier
1720649189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- HDP WOLFF DENTAL LLC
- Practice address
- 23844 S Power Rd Ste B-106
Queen Creek, AZ 85142-6152 - Phone
- (480) 663-9191
- NPI assigned
- Jun 26, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Faith Gaskins
- Title
- Director of Credentialing
- Phone
- (972) 869-3789
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
23844 S Power Rd Ste B-106
Queen Creek, AZ 85142-6152
Mailing address
2403 Lacy LN
Carrollton, TX 75006-6514
Phone (972) 869-3789
National Provider Directory
National Provider DirectoryLocations
23844 S Power Rd
Ste B106
Queen Creek, AZ 85142
Phone (317) 753-1570
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Queen Creek, AZ
- NPI 1700932753
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561507200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1561507200000",
"number": "1720649189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2403 LACY LN",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750066514",
"telephone_number": "972-869-3789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23844 S POWER RD STE B-106",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "851426152",
"telephone_number": "480-663-9191"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HDP WOLFF DENTAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-26",
"last_updated": "2019-06-26",
"status": "A",
"authorized_official_last_name": "GASKINS",
"authorized_official_first_name": "FAITH",
"authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
"authorized_official_telephone_number": "972-869-3789"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Queen Creek, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.