Agave Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

AGAVE DENTISTRY

Practice address

2028 N Trekell Rd
#107/#108
Casa Grande, AZ 85222-1326

Phone

(520) 876-9955

NPI assigned

Apr 14, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Duka M. Dill

Title

President

Phone

(520) 876-9955

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Tyson Archer Davis, DDS

  • General Practice Dentistry
  • Casa Grande, AZ
  • NPI 1770712820
  NPD (past)

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1790959435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2028 N TREKELL RD",
            "address_2": "#107/#108",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "852221326",
            "telephone_number": "520-876-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2028 N TREKELL RD",
            "address_2": "#107/#108",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "852221326",
            "telephone_number": "520-876-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAVE DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "DILL",
        "authorized_official_first_name": "DUKA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-876-9955",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Adrian, PHARMD
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• Agape Family Health and Wellness
• Ivey Daniell Agee Wainwright, D.D.S
• Veronica Agredano Ellis, BS
• J.T. Aguilar, M.ED.
• Irene Aguilera-Barrantes, M.D.
• Jessica Aguilera, NP

• General Practice Dentistry in Casa Grande, AZ
• Providers in Casa Grande, 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 Apr 14, 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.