| Dr Jared Michael Pope, DDS | |
| 
					44480 W Honeycutt Rd, Ste 110, Maricopa, AZ 85138  | |
| (520) 568-9100 | |
| (520) 568-9190 | 
| Full Name | Dr Jared Michael Pope | 
|---|---|
| Gender | Male | 
| Speciality | Dentist - General Practice | 
| Location | 44480 W Honeycutt Rd, Maricopa, Arizona | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1275667479 | NPI | - | NPPES | 
| 72-1527580 | Other | AZ | TAX ID# | 
| 1399646 | Other | AZ | UNITED CONCORDIA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D5625 (Arizona) | Primary | 
| Entity Name | Mfdo | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1558701698 PECOS PAC ID: 6406378173 Enrollment ID: O20250321003302  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Jared Michael Pope, DDS 44480 W Honeycutt Rd, Ste 110, Maricopa, AZ 85138 Ph: (520) 568-9100  | Dr Jared Michael Pope, DDS 44480 W Honeycutt Rd, Ste 110, Maricopa, AZ 85138 Ph: (520) 568-9100  | 
Dr. Taryn Elizabeth Wollschlager, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 44870 W Hathaway Ave, Maricopa, AZ 85139 Phone: 520-568-7004  | |
Austin Calaway, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 21300 N John Wayne Pkwy Ste 108, Maricopa, AZ 85139 Phone: 520-494-7578  | |
Jared Kenney, DDS Dentist Medicare: Medicare Enrolled Practice Location: 21300 N John Wayne Pkwy Ste 114, Maricopa, AZ 85139 Phone: 520-231-6700 Fax: 520-208-9066  | |
Meena A Kasisa, DMD Dentist Medicare: Medicare Enrolled Practice Location: 41620 W Maricopa Casa Grande Hwy Ste 110, Maricopa, AZ 85138 Phone: 520-568-2800  | |
Dr. Igor Borisov, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 44480 W Honeycutt Rd Ste 110, Maricopa, AZ 85138 Phone: 520-568-9100  | |
Dr. James Francis Myers, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 44480 W Honeycutt Ave Ste 109, Maricopa, AZ 85138 Phone: 520-568-7630  |