Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639498595 Individual Practitioner Female Practitioner

Dr. Lisa Irish Deese , DMD

Dentist - General Practice • Douglas, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Lisa Deese, DMD is a registered healthcare professional specializing in Dentist - General Practice in Douglas, AZ. Practice services are available at 1100 F AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1100 F Ave

Douglas, AZ 856071919

Telephone 5203643285
Fax 5203643378
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Douglas, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.4 Yrs
Regional Practice Density
3 Specialists

Practicing in Douglas, AZ (2600 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License AZ D009122

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License FL DN19100

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
192919 (AZ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

23 Associated Practitioners
NPI 1003558065

Licensed Master Social Worker

Lilia Lara

Nurse Practitioner - Family

NPI 1073231742
Shirley Bayham-Hicks , FNP

Nurse Practitioner - Family

NPI 1144216920

Family Nurse Practitioner

Larry Corrales

Counselor - Professional

NPI 1154080125
Pamela Oliphant

Dietitian, Registered

NPI 1174072326
Dia Madden , FNP

Nurse Practitioner - Family

NPI 1215241518

Family Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active May 01, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 01, 2017

Registered at 1100 F AVE, DOUGLAS, AZ 856071919 (Tel: 5203643285)

📍
Updated Business Mailing Address May 01, 2017

Registered at 1100 F AVE, DOUGLAS, AZ 856071919 (Tel: 5203643285)

👤
Provider Name / Credentials Updated May 01, 2017

Recorded as LISA DEESE, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 01, 2017

Dentist (License #DN19100 in FL)

NPI Profile Active November 09, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location November 09, 2016

Registered at 1100 F AVE, DOUGLAS, AZ 856071919 (Tel: 5203643285)

📍
Updated Business Mailing Address November 09, 2016

Registered at 1100 F AVE, DOUGLAS, AZ 856071919 (Tel: 5203643285)

👤
Provider Name / Credentials Updated November 09, 2016

Recorded as LISA DEESE, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 09, 2016

Dentist (License #D009122 in AZ)

🟢
Initial NPI Registration & Enumeration May 18, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639498595
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 18, 2010
Last Update: May 01, 2017
Sole Proprietor: No

Mailing Address

1100 F Ave

Douglas, AZ 856071919

Phone: 5203643285

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.