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EAST VALLEY PERIODONTICS
NPI 1063649192
Dentist - Periodontics in Mesa, AZ

Active since June 16, 2009
6755 E SUPERSTITION SPRINGS BLVD, STE. 102, MESA, AZ 85206(480) 218-7590(480) 218-2247 Get Directions Write a Review

NPPES record last updated: June 16, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About East Valley Periodontics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAST VALLEY PERIODONTICS (NPI 1063649192) is a healthcare organization registered as a periodontics in Mesa, Arizona and active in the NPI registry since June 2009. The organization lists Penny Sue Mckinney, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1063649192
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameEAST VALLEY PERIODONTICS
Location Address6755 E SUPERSTITION SPRINGS BLVD, STE. 102Mesa, AZ 85206-4373
Mailing Address6755 E Superstition Springs Blvd, Ste. 102Mesa, AZ 85206-4373 · (480) 218-7590 · Fax (480) 218-2247
Phone(480) 218-7590
Fax(480) 218-2247
Organization SubpartNo
Authorized OfficialPenny Sue MckinneyOffice Manager · (480) 218-7590
Enumeration DateJune 16, 2009
✔ NPI 1063649192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Licenses✔ Licensed in AZ · 2619✔ Licensed in AZ · 7751
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.
6755 E SUPERSTITION SPRINGS BLVD, Mesa, AZ 85206
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRADLEY THAIN PORTER DDS
Dentist (Oral and Maxillofacial Surgery)
6755 E SUPERSTITION SPRINGS BLVD, SUITE 103
MESA, AZ 85206
Maricopa County (480) 830-5866
ROLLINS & PETERSEN ORTHODONTICS PLC
Dentist (Orthodontics and Dentofacial Orthopedics)
6755 E SUPERSTITION SPRINGS BLVD, STE 201
MESA, AZ 85206
Maricopa County (480) 924-2880
MARK S. HAMBLIN, D.D.S., P.C.
Dentist
6755 E SUPERSTITION SPRINGS BLVD, SUITE #202
MESA, AZ 85206
Maricopa County (480) 981-3311
ARLON M PETERSEN DMD
Dentist (Orthodontics and Dentofacial Orthopedics)
6755 E SUPERSTITION SPRINGS BLVD, STE 201
MESA, AZ 85206
Maricopa County (480) 924-2880
DERRICK J DICKERSON DMD
Dentist (General Practice)
6755 E SUPERSTITION SPRINGS BLVD, 203
MESA, AZ 85206
Maricopa County (480) 218-6030
DICKERSON ENTERPRISES, INCORPORATED
Dentist
6755 E SUPERSTITION SPRINGS BLVD, SUITE 203
MESA, AZ 85206
Maricopa County (480) 218-6030
DR. MARK S. HAMBLIN D.D.S.
Dentist (General Practice)
6755 E SUPERSTITION SPRINGS BLVD, SUITE #202
MESA, AZ 85206
Maricopa County (480) 981-3311
DR. BRENT RUSSELL BOYSE DDS
Dentist (Oral and Maxillofacial Surgery)
6755 E SUPERSTITION SPRINGS BLVD, SUITE 103
MESA, AZ 85206
Maricopa County (480) 830-5866

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is East Valley Periodontics's NPI number?

The NPI number for East Valley Periodontics is 1063649192. It was assigned to this organization in the NPPES registry on June 16, 2009.

Where is East Valley Periodontics located?

East Valley Periodontics is located at 6755 E Superstition Springs Blvd Ste. 102, Mesa, AZ 85206. The listed phone number is (480) 218-7590.

What is East Valley Periodontics's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for East Valley Periodontics was last updated on June 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.