EAST VALLEY IMPLANT & PERIODONTAL CENTER


Address: 3048 E Baseline Rd Ste 112, Mesa, AZ 85204-7287
Phone: 4805584504

EAST VALLEY IMPLANT & PERIODONTAL CENTER (NPI# 1376019075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376019075
Entity Type Organization
Organization Name EAST VALLEY IMPLANT & PERIODONTAL CENTER
Practice Address 3048 E Baseline Rd Ste 112
Mesa
AZ 85204-7287
Practice Telephone 4805584504
Practice Fax Number 4808279703
Mailing Telephone 4805584504
Mailing Fax Number 4808279703
Enumeration Date 2018-10-19
Last Update Date 2018-10-19
Authorized Official Name MRS. BRETT E LEE (OFFICE MANAGER)
Authorized Official Telephone 4805584504
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0300X Dentist
Specialization: Periodontics
Dental Providers

Office Location

Street Address 3048 E BASELINE RD STE 112
City MESA
State AZ
Zip Code 85204-7287

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457900656 East Valley Implant and Periodontal Pllc Dentist 3048 E Baseline Rd Ste 112, Mesa, AZ 85204-7287 2019-09-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194374819 Luminations Healing Center, LLC Social Worker 1237 S. Val Vista Dr. #221, Mesa, AZ 85204 2019-09-05
1881160356 Wanjiru Landers Student in an Organized Health Care Education/Training Program 550 S Linda Circle, Mesa, AZ 85204 2018-10-22
1649754235 Adam Desnous Specialist/Technologist 751 S Daley, Mesa, AZ 85204 2018-09-19
1982128187 Michael Anthony Jones Counselor 1107 North Gilbert Rd, Mesa, AZ 85204 2017-07-29
1295287225 Scottsdale Healthcare Corp Family Medicine 2530 W. Southern Ave, Mesa, AZ 85204 2016-10-25
1427504158 Richard White Physician Assistant 2345 E Southern Ave # 101, Mesa, AZ 85204 2016-09-01
1548716780 Pain Stop Accident Injury LLC Chiropractor 425 E 11th Ave, Mesa, AZ 85204 2016-08-28
1154704252 Glenn Taylor Lesueur Dentist 1056 S. Val Vista Dr., Suite 1, Mesa, AZ 85204 2015-07-07
1073932513 Naomi Devine Nurse Practitioner 1840 South Stapley Drive, Suite 101, Mesa, AZ 85204 2014-04-14
1609292531 John Kamau Counselor 1060 S Lobin Ln, Mesa, AZ 85204 2014-03-17
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Taxonomy Information

Taxonomy Code 1223P0300X
Grouping Dental Providers
Classification Dentist
Specialization Periodontics

Taxonomy Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518232701 Niels Jensen Dentist 6755 E Superstition Springs Blvd Ste 102, Mesa, AZ 85206-4375 2012-03-20
1609166644 Nicholas D Allan Dentist 2831 E Southern Ave, #215, Mesa, AZ 85204-5500 2011-04-11
1891795282 Paul Wadley Haycock Dentist 6755 E Superstition Springs Blvd, Suite 102, Mesa, AZ 85206-4373 2005-07-28
1457900656 East Valley Implant and Periodontal Pllc Dentist 3048 E Baseline Rd Ste 112, Mesa, AZ 85204-7287 2019-09-10
1568980001 Aaron Clark Nelson Dentist 6755 E Superstition Springs Blvd Ste 102, Mesa, AZ 85206-4375 2017-09-05
1811288384 Satish S. Kumar Dentist 5855 E Still Cir, Mesa, AZ 85206 2011-05-02
1871805291 Joseph Wayne Capps Dentist 4996 S Power Rd, Mesa, AZ 85212-3602 2010-07-14
1063649192 East Valley Periodontics Dentist 6755 E Superstition Springs Blvd, Ste. 102, Mesa, AZ 85206-4373 2009-06-16
1629223367 Christine Ann Halket Dentist 5855 E Still Cir, Mesa, AZ 85206-3631 2008-11-21
1821242082 Morley J. Smith, Dmd, PC Dentist 6755 E Superstition Springs Blvd, Suite 102, Mesa, AZ 85206-4373 2008-11-13
Find all providers in MESA

Competitor

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City MESA
Zip Code 85204

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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