DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EAST VALLEY PERIODONTICS

Active Organization

EAST VALLEY PERIODONTICS is a Periodontology organization located in MESA, Arizona. NPI 1063649192 is currently active in the NPPES registry. Verify at CMS.

Periodontology · MESA, AZ

Registration Details

NPI Number
1063649192
Provider Type
Organization
NPI Issued
Jun 16, 2009 (17.18265531283 yrs)
Last Updated
Jun 16, 2009
Licenses
7751 (AZ)
2619 (AZ)

Practice Information

Address
6755 E SUPERSTITION SPRINGS BLVD
STE. 102
MESA, AZ, 852064373
Browse AZ providers · Browse ZIP 85206
Phone
4802187590
Fax
4802182247
Primary Specialty
Periodontology
1223P0300X
Additional Specialty
Periodontology
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.