EAST VALLEY IMPLANT & PERIODONTAL CENTER
NPI 1376019075
Dentist - Periodontics in Mesa, AZ

Q: What is East Valley Implant & Periodontal Center's specialty?

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

Active since October 19, 2018

3048 E BASELINE RD STE 112, MESA, AZ 85204(480) 558-4504(480) 827-9703 Get Directions Write a Review

NPPES record last updated: October 19, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About East Valley Implant & Periodontal Center NPPES

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

EAST VALLEY IMPLANT & PERIODONTAL CENTER (NPI 1376019075) is a healthcare organization registered as a periodontics in Mesa, Arizona and active in the NPI registry since October 2018. The organization lists Brett E Lee, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1376019075

Entity TypeOrganization

Primary Taxonomy1223P0300X

Legal Business NameEAST VALLEY IMPLANT & PERIODONTAL CENTER

Location Address3048 E BASELINE RD STE 112Mesa, AZ 85204-7287

Mailing Address3048 E Baseline Rd Ste 112Mesa, AZ 85204-7287 · (480) 558-4504 · Fax (480) 827-9703

Phone(480) 558-4504

Fax(480) 827-9703

Organization SubpartNo

Authorized OfficialBrett E LeeOffice Manager · (480) 558-4504

Enumeration DateOctober 19, 2018

✔ NPI 1376019075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

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.

3048 E BASELINE RD STE 112, Mesa, AZ 85204

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

EAST VALLEY IMPLANT AND PERIODONTAL PLLC

Dentist (Periodontics)

3048 E BASELINE RD STE 112
MESA, AZ 85204

Maricopa County (480) 376-2848

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 Implant & Periodontal Center's NPI number?

The NPI number for East Valley Implant & Periodontal Center is 1376019075. It was assigned to this organization in the NPPES registry on October 19, 2018.

Where is East Valley Implant & Periodontal Center located?

East Valley Implant & Periodontal Center is located at 3048 E Baseline Rd Ste 112, Mesa, AZ 85204. The listed phone number is (480) 558-4504.

What is East Valley Implant & Periodontal Center'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 Implant & Periodontal Center was last updated on October 19, 2018. 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.