Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1356733992 Individual Practitioner Female Practitioner

Dr. Kathleen Poole , DDS

Dentist • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Kathleen Poole, DDS is a registered healthcare professional specializing in Dentist in Phoenix, AZ. Practice services are available at 6524 W INDIAN SCHOOL RD STE A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6524 W Indian School Rd Ste A

Phoenix, AZ 850333329

Telephone 6234282400
Fax 6237774120
Associated Practice Facility / Clinic
🏢 Clinica Revive Salud Pllc Facility NPI 1750003323

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.3 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
412 Specialists

Practicing in Phoenix, AZ (1999 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License AZ 10115

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Paula Hernandez , DNP, FNP-C

Nurse Practitioner - Family

NPI 1316559289

Doctor of Nursing Practice, Family Nurse Practitioner (Certified)

Dr. Nubia Lomeli , DNP, FNP-C

Nurse Practitioner - Family

NPI 1619328374

Doctor of Nursing Practice, Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location July 27, 2019

Registered at 6524 W INDIAN SCHOOL RD STE A, PHOENIX, AZ 850333329 (Tel: 6234282400)

📍
Updated Practice Location August 24, 2018

Registered at 6524 W INDIAN SCHOOL RD, PHOENIX, AZ 85033 (Tel: 6232477409)

📍
Updated Business Mailing Address August 24, 2018

Registered at PO BOX 358, CROWNPOINT, NM 873130358 (Tel: 5057866283)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2018

Dentist (License #10115 in AZ)

NPI Profile Active January 27, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location January 27, 2016

Registered at 100 FLORIDA ST, CHARLESTON, WV 253021131 (Tel: 3043486613)

📍
Updated Business Mailing Address January 27, 2016

Registered at 100 FLORIDA ST, CHARLESTON, WV 253021131 (Tel: 3043486613)

👤
Provider Name / Credentials Updated January 27, 2016

Recorded as KATHLEEN POOLE, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 27, 2016

Dentist (License #4178 in WV)

🟢
Initial NPI Registration & Enumeration February 18, 2015

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: 1356733992
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 18, 2015
Last Update: July 27, 2019
Sole Proprietor: Yes

Mailing Address

Po Box 358

Crownpoint, NM 873130358

Phone: 5057866283

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.