Wigwam Creek Dental Care, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5869 Issued in AZ

Legal business name

WIGWAM CREEK DENTAL CARE, PC

Practice address

13000 W Indian School Rd
A-7
Litchfield Park, AZ 85340-6582

Phone

(623) 547-0010

NPI assigned

Jun 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Scott A Lee, DDSNPI 1609945989

Title

Owner

Phone

(623) 547-0010

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Scott Allen Lee, D.D.S.

  • General Practice Dentistry
  • Litchfield Park, AZ
  • NPI 1609945989
  NPD (past) Authorized official

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982809844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13000 W INDIAN SCHOOL RD",
            "address_2": "A-7",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853406582",
            "telephone_number": "623-547-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 W INDIAN SCHOOL RD",
            "address_2": "A-7",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853406582",
            "telephone_number": "623-547-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIGWAM CREEK DENTAL CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-547-0010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "5869",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "6772",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Luna Wheeler
• Donna L White, PT
• Karina Cubas White, SLPA
• Teresa Deloris Whitehead, BHT, MS,
• Alena Grace Wieczorek, MS, BCBA, LBA
• Marcie Starley Wilde, D.O.
• Leanne Wilkins
• Jade Williams, RBT
• Melinda Marie Williams, SLPA
• Phonemany Mary Williams, LPN

• General Practice Dentistry in Litchfield Park, AZ
• Providers in Litchfield Park, 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.