Progressive Dentistry & Orthodontics LLC

Primary specialty

DentistTaxonomy code 122300000X

License

5625 Issued in AZ

Legal business name

PROGRESSIVE DENTISTRY & ORTHODONTICS LLC

Practice address

2995 W Elliot Rd
Ste 1
Chandler, AZ 85224-1670

Phone

(480) 775-8600

NPI assigned

Sep 10, 2013

Last updated

Sep 10, 2013By 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

Jared Pope, DDS

Title

Owner

Phone

(480) 775-8600

Specialties & licenses 1

Addresses

Tax ID family

Pdo LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pdo LLC

  • General Practice Dentistry
  • Saint Clair, MI
  • NPI 1750712642
  NPD tax ID

Locations

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378771200000",
    "number": "1932534971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4146 NEUMAN RD",
            "city": "SAINT CLAIR",
            "state": "MI",
            "postal_code": "480793234",
            "fax_number": "520-423-3890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2995 W ELLIOT RD",
            "address_2": "STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852241670",
            "telephone_number": "480-775-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE DENTISTRY & ORTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-10",
        "last_updated": "2013-09-10",
        "status": "A",
        "authorized_official_last_name": "POPE",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-775-8600",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "5625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail J Prochaska, MT-BC
• Caitlyn E. Procopio, FNP-C
• John Proctor
• Nathan K Proft, DPT
• Progressive Dentistry & Orthodontics
• Grant Stephen Proia
• Promenade Dental PLLC
• Promise Medical Inc
• Adrienne Anissa Pronk, CSA
• Hannah Prost

• Dentist in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; 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.