COUNTRY CLUB DENTAL MANAGEMENT CO, PC
NPI 1164722021
Dentist in Mesa, AZ
NPI Status: Active since October 26, 2010
Contact Information
4704 E SOUTHERN AVE
SUITE #1
MESA, AZ
ZIP 85206
Phone: (480) 889-9457
Fax: (480) 889-9493
- Organization
- Dentist
- Accepts Insurance
About COUNTRY CLUB DENTAL MANAGEMENT CO, PC
This page provides the complete NPI Profile along with additional information for Country Club Dental Management Co, Pc, a provider established in Mesa, Arizona operating as a Dentist. The healthcare provider is registered in the NPI registry with number 1164722021 assigned on October 2010. The practitioner's primary taxonomy code is 122300000X with license number D07819 (AZ). The provider is registered as an organization and their NPI record was last updated 12 years ago. Country Club Dental Management Co, Pc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Lawrence George Groop Dmd (Director)
- NPI
- 1164722021
- Provider Name
- COUNTRY CLUB DENTAL MANAGEMENT CO, PC
- Entity Type
- Organization
- Location Address
- 4704 E SOUTHERN AVE SUITE #1 MESA, AZ 85206
- Location Phone
- (480) 889-9457
- Location Fax
- (480) 889-9493
- Mailing Address
- 4704 E SOUTHERN AVE MESA, AZ 85206
- Mailing Phone
- (480) 889-9457
- Mailing Fax
- (480) 889-9493
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-26-2010
- Last Update Date
- 10-31-2013
- Code Navigator
A dentist like Country Club Dental Management Co, Pc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist
- Taxonomy Code
- 122300000X
- Type
- Dental Providers
- License No.
- D07819
- License State
- AZ
- Taxonomy Description
- A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 1223G0001X | Dental Providers | Dentist | D07819 (AZ) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Reviews for COUNTRY CLUB DENTAL MANAGEMENT CO, PC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 6 | 4 | 7 | 2 | 2 | 0 | 2 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 12 | 4 | 14 | 2 | 4 | 0 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 2 + 4 + 1 + 4 + 2 + 4 + 0 + 4 + 24 = 49 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 49 = 1 | 1 | ||||||||
The NPI number 1164722021 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 8 providers are registered at the same or nearby location.
FLORENCE DENTAL MANAGEMENT CO, PC
Dentist
(General Practice)
4704 E SOUTHERN AVE
MESA, AZ
ZIP 85206
MERRILL RANCH DENTAL COMPANY, P.C.
Dentist
(General Practice)
4704 E SOUTHERN AVE
MESA, AZ
ZIP 85206
COPPER FAMILY DENTAL COMPANY, P.C.
Dentist
(General Practice)
4704 E SOUTHERN AVE
MESA, AZ
ZIP 85206
PRIME FAMILY DENTAL CARE, PC
Dentist
(General Practice)
4704 E SOUTHERN AVE
MESA, AZ
ZIP 85206
RED MOUNTAIN FAMILY DENTAL, PC
Dentist
(General Practice)
4704 E SOUTHERN AVE
MESA, AZ
ZIP 85206
SOSSAMAN FAMILY DENTAL PC
Dentist
(General Practice)
4704 E SOUTHERN AVE
SUITE # 118
MESA, AZ
ZIP 85206
SUN WEST DENTAL CHANDLER
Clinic/Center
(Dental)
4704 E SOUTHERN AVE
MESA, AZ
ZIP 85206
SUNWEST DENTAL CENTER
Dentist
4704 E SOUTHERN AVE
MESA, AZ
ZIP 85206
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164722021, enumerated as an "organization" on October 26, 2010.
The provider is located at 4704 E SOUTHERN AVE SUITE #1 MESA, AZ 85206 and the phone number is (480) 889-9457.
Dentist with taxonomy code 122300000X.
The provider might be accepting Accepts: BannerAetna. Please consult your insurance carrier or call the provider to verify.
