| Dr Gianira Lopez, DDS | |
|
2525 E Roosevelt St, Phoenix, AZ 85008-4948 | |
| (833) 855-9973 | |
| Not Available |
| Full Name | Dr Gianira Lopez |
|---|---|
| Gender | Female |
| Speciality | Dentist |
| Location | 2525 E Roosevelt St, Phoenix, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336227743 | NPI | - | NPPES |
| 4382600 | Medicaid | MI | |
| D802165 | Other | MI | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2901018076 (Michigan) | Secondary |
| 122300000X | Dentist | D7464 (Arizona) | Primary |
| Entity Name | Maricopa County Special Health Care District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073576740 PECOS PAC ID: 4688583651 Enrollment ID: O20031204000823 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gianira Lopez, DDS 8088 W Whitney Dr, Peoria, AZ 85345-6564 Ph: Not Available | Dr Gianira Lopez, DDS 2525 E Roosevelt St, Phoenix, AZ 85008-4948 Ph: (833) 855-9973 |
Dr. Bogdan Michael Kulikowski, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 15215 S 48th Street, Suite #158, Phoenix, AZ 85044 Phone: 480-598-3006 Fax: 480-598-1184 |
Lonnie Chris Eckman, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 7725 N 43rd Ave Ste No711, Phoenix, AZ 85051 Phone: 623-931-8898 Fax: 623-930-1182 |
Thuy B Ngo, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 4550 E. Bell Rd., #102, Phoenix, AZ 85032 Phone: 602-485-1588 Fax: 602-707-9740 |
Dr. Jeremy John Liddiard, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 12005 N Tatum Blvd, Suite 105, Phoenix, AZ 85028 Phone: 602-971-0026 |
Dr. Amanda Rafi, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 267 E Bell Rd Ste 3, Phoenix, AZ 85022 Phone: 602-993-6000 |
Jessica Lynne Giles, DMD Dentist Medicare: Medicare Enrolled Practice Location: 6601 W Thomas Rd, Phoenix, AZ 85033 Phone: 602-243-7277 Fax: 623-247-9742 |
Aaron Sanchez, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3540 W Camelback Rd, Phoenix, AZ 85019 Phone: 602-427-4070 |