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DR. GEORGE PATRICK SPINE III D.M.D.
NPI 1770781197
Dentist - General Practice in Glendale, AZ

Active since July 06, 2007Opted out of Medicare · through Aug 29, 2027
5855 WEST UTOPIA ROAD, MIDWESTERN UNIVERSITY DENTAL INSTITUTE, SUITE H, GLENDALE, AZ 85308(623) 306-7026(623) 806-7010 Get Directions Write a Review

NPPES record last updated: September 8, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. George Patrick Spine Iii D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GEORGE PATRICK SPINE III D.M.D. (NPI 1770781197) is an individual general practice provider in Glendale, Arizona, licensed in Arizona (5786) and active in the NPI registry since July 2007. He has opted out of Medicare through August 29, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1770781197
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. GEORGE PATRICK SPINE IIICredential: D.M.D.
Location Address5855 WEST UTOPIA ROAD, MIDWESTERN UNIVERSITY DENTAL INSTITUTE, SUITE HGlendale, AZ 85308
Mailing Address5855 West Utopia Road, Midwestern University Dental Institute, Suite HGlendale, AZ 85308 · (623) 306-7026 · Fax (623) 806-7010
Phone(623) 306-7026
Fax(623) 806-7010
Sole ProprietorNo
Enumeration DateJuly 6, 2007
Last NPPES UpdateSeptember 8, 2023
✔ NPI 1770781197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in AZ · 5786
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
5855 WEST UTOPIA ROAD, Glendale, AZ 85308
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. George Patrick Spine Iii D.m.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 29, 2023 through August 29, 2027.

Opt-Out Effective DateAugust 29, 2023
Opt-Out In Effect ThroughAugust 29, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85308 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. WILLIAM MARK HEINZ DDS
Dentist
5855 WEST UTOPIA ROAD
GLENDALE, AZ 85308
Maricopa County (623) 806-7000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is George Spine's NPI number?

The NPI number for George Spine is 1770781197. It was assigned to this individual provider in the NPPES registry on July 6, 2007.

Where is George Spine located?

George Spine practices at 5855 West Utopia Road Midwestern University Dental Institute, Suite H, Glendale, AZ 85308. The listed phone number is (623) 306-7026.

What is George Spine's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is George Spine enrolled in Medicare?

No. George Spine has opted out of Medicare through August 29, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does George Spine accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Alabama and Blue Cross and Blue Shield of Montana and 11 other insurers list George Spine as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for George Spine was last updated on September 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.