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EASTPORT DENTAL
NPI 1376009175
Clinic/Center - Dental in Mesa, AZ

Active since February 16, 2019
1905 E MCKELLIPS RD, MESA, AZ 85203(480) 649-1949 Get Directions Write a Review

NPPES record last updated: February 17, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eastport Dental NPPES

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

EASTPORT DENTAL (NPI 1376009175) is a healthcare organization registered as a dental in Mesa, Arizona and active in the NPI registry since February 2019. The organization lists Vinh Huynh, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1376009175
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameJKA DENTAL PLLC
Location Address1905 E MCKELLIPS RDMesa, AZ 85203-2865
Mailing Address1905 E Mckellips RdMesa, AZ 85203-2865 · (480) 526-3664
Phone(480) 649-1949
Organization SubpartNo
Authorized OfficialVinh HuynhDentist/owner · (480) 526-3664
Enumeration DateFebruary 16, 2019
Last NPPES UpdateFebruary 17, 2019
✔ NPI 1376009175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1905 E MCKELLIPS RD, Mesa, AZ 85203
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Other Names 1

Doing Business AsEastport Dental

Other Identifiers 4

Other1376009175AZ · Ppo And Hmo
Medicaid1376009175AZ
Medicaid1659659142AZ
Other1659659142AZ · Ppo And Hmo

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Solstice Healthplans of Arizona, Inc., UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 5

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

MICHAEL JOHN HYNEMAN D.M.D.
Dentist (General Practice)
1905 E MCKELLIPS RD
MESA, AZ 85203
Maricopa County (480) 649-1949
DR. TOMMIE GLENN B. DECANO D.D.S.
Dentist
1905 E MCKELLIPS RD
MESA, AZ 85203
Maricopa County (480) 649-1949
LESILIE A PETERSON RDH
Dental Hygienist
1905 E MCKELLIPS RD
MESA, AZ 85203
Maricopa County (480) 649-1949
MICHAEL J HYNEMAN DMD PC
Dentist
1905 E MCKELLIPS RD
MESA, AZ 85203
Maricopa County (480) 649-1949
DR. VINH T HUYNH DMD
Dentist (General Practice)
1905 E MCKELLIPS RD
MESA, AZ 85203
Maricopa County (480) 526-3664

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 Jka Dental PLLC's NPI number?

The NPI number for Jka Dental PLLC is 1376009175. It was assigned to this organization in the NPPES registry on February 16, 2019. The provider is doing business as Eastport Dental.

Where is Jka Dental PLLC located?

Jka Dental PLLC is located at 1905 E Mckellips Rd, Mesa, AZ 85203. The listed phone number is (480) 649-1949.

What is Jka Dental PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Jka Dental PLLC accept?

Health plans from Solstice Healthplans of Arizona, Inc. and UnitedHealthcare list Jka Dental PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jka Dental PLLC was last updated on February 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.