Pride Dental Group PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0908190 Issued in AZ

Legal business name

PRIDE DENTAL GROUP PLLC

Practice address

3226 N Miller Rd Ste 3
Scottsdale, AZ 85251-6930

Phone

(480) 946-0404

Fax

(480) 946-0789

NPI assigned

Jun 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Bryan J Shanahan, D.D.S

Title

Dentist

Phone

(480) 946-0404

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740484278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3226 N MILLER RD STE 3",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516930",
            "telephone_number": "480-946-0404",
            "fax_number": "480-946-0789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3226 N MILLER RD STE 3",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516930",
            "telephone_number": "480-946-0404",
            "fax_number": "480-946-0789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIDE DENTAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHANAHAN",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "480-946-0404",
        "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": "0908190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Lynn Price, LAC
• Evan Robert Price, DC
• Jess P Price, D.P.M.
• Trisha Price
• Pablo Andres Prichard, M.D.
• Pride Medical Supplies
• Pride Medical Supplies
• Jamie D Priesman, MC
• Craig Barry Primack, MD
• Prime Time Dental Inc

• General Practice Dentistry in Scottsdale, AZ
• Providers in Scottsdale, 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.