Justin S Dole, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D010713 Issued in AZ

Practice address

17767 N Scottsdale Rd Ste 110
Scottsdale, AZ 85255-6590

Phone

(602) 666-5805

NPI assigned

Aug 19, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• James S. Oh DDS, PLLC

  dba Advanced Dentistry & Implant Center of Scottsdale

  • Dental Clinic/Center
  • Scottsdale, AZ
  • NPI 1245889260
  NPD (past)
• Scottsdale Modern Dentistry and Orthodontics, LLP

  dba Scottsdale Modern Dentistry and Orthodontics

  • General Practice Dentistry
  • Scottsdale, AZ
  • NPI 1730434515
  NPD (past)

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1992317143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17767 N SCOTTSDALE RD STE 110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852556590",
            "telephone_number": "602-666-5805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17767 N SCOTTSDALE RD STE 110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852556590",
            "telephone_number": "602-666-5805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLE",
        "first_name": "JUSTIN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-19",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D010713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Callie Doiron, RN
• Judith B. Dolan, MS, LPC
• Mallory Marie Dolan, PA-C
• Nicole Dolan, SLPA
• Shana Dolan, PHARMD
• Carolyn Christine Dolejs, MA, LPC
• Ian Michael Dombrowski
• Kathleen T Dombrowski, MA
• Heather S Dominguez, M.S., CCC-SLP
• Socorro Dominguez, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.