| Gregory Waite, DDS | |
|
865 N Arizola Rd, Casa Grande, AZ 85122-6011 | |
| (520) 836-3446 | |
| (520) 836-8807 |
| Full Name | Gregory Waite |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 865 N Arizola Rd, Casa Grande, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437157153 | NPI | - | NPPES |
| 93170 | Other | AZ | AHCCCS |
| 3725 | Other | AZ | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3725 (Arizona) | Primary |
| Entity Name | San Carlos Apache Healthcare Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265813075 PECOS PAC ID: 0648580597 Enrollment ID: O20151105002091 |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory Waite, DDS Po Box 10097, Casa Grande, AZ 85130-0020 Ph: (520) 836-3446 | Gregory Waite, DDS 865 N Arizola Rd, Casa Grande, AZ 85122-6011 Ph: (520) 836-3446 |
Dr. Gregory R Giordano, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 907 E Cottonwood Ln Ste 1, Kid1, Casa Grande, AZ 85122 Phone: 520-876-5431 Fax: 520-876-4875 | |
Mr. Namninder S Grn, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1677 E Florence Blvd, #24, Casa Grande, AZ 85222 Phone: 520-836-5466 Fax: 520-836-7469 | |
Jelena Bulatovic, Dentist Medicare: Not Enrolled in Medicare Practice Location: 865 N Arizola Rd, Casa Grande, AZ 85122 Phone: 520-836-3446 | |
Dr. Brannon Jay Gunnell, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1550 E Florence Blvd Ste 4, Casa Grande, AZ 85222 Phone: 520-423-0022 Fax: 520-423-0683 | |
Dr. Takish Ziad, Dentist Medicare: Not Enrolled in Medicare Practice Location: 865 N Arizola Rd, Casa Grande, AZ 85122 Phone: 520-381-0381 | |
James Allen Jennings, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 907 E Cottonwood Ln Ste 1, Casa Grande, AZ 85222 Phone: 520-876-5431 Fax: 520-876-4875 | |
Nidhi A Patel, DMD Dentist Medicare: Medicare Enrolled Practice Location: 1775 E Florence Blvd Ste 104, Ste 104, Casa Grande, AZ 85122 Phone: 520-413-3578 |