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RAE LAKES, LLC
NPI 1407560675
Clinic/Center - Dental in Gilbert, AZ

Active since January 11, 2023
3317 S HIGLEY RD, GILBERT, AZ 85297(480) 868-1864 Get Directions Write a Review

NPPES record last updated: January 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rae Lakes, Llc NPPES

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

RAE LAKES, LLC (NPI 1407560675) is a healthcare organization registered as a dental in Gilbert, Arizona and active in the NPI registry since January 2023. The organization lists Jonathon Edwards, Owner, as its authorized official.

NPPES Registry Identity

NPI1407560675
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameRAE LAKES, LLC
Location Address3317 S HIGLEY RDGilbert, AZ 85297-5436
Mailing Address1327 S Nielson StGilbert, AZ 85296-4265 · (480) 868-1864
Phone(480) 868-1864
Organization SubpartNo
Authorized OfficialJonathon EdwardsOwner · (480) 868-1864
Enumeration DateJanuary 11, 2023
NPPES CertifiedDecember 19, 2022
✔ NPI 1407560675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
3317 S HIGLEY RD, Gilbert, AZ 85297
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Other Providers at the Same Location NPPES 7

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

DWAYNE DOUGLAS GBELIA SA-C PLLC
Specialist/Technologist, Other (Surgical Assistant)
3317 S HIGLEY RD, SUITE 114-171
GILBERT, AZ 85297
Maricopa County (480) 620-4498
VIDA IN BALANCE, LLC
Clinic/Center
3317 S HIGLEY RD
GILBERT, AZ 85297
Maricopa County (303) 717-5767
CHAD RYAN THOMAS C.S.F.A.
Physician Assistant (Surgical)
3317 S HIGLEY RD, #114-257
GILBERT, AZ 85297
Maricopa County (480) 734-0536
MADELYNN LEA OGLESBY PHYSICIAN ASSISTANT
Lactation Consultant, Non-RN
3317 S HIGLEY RD
GILBERT, AZ 85297
Maricopa County (480) 900-8639
MR. JONATHAN VAKNIN SA-C
Specialist/Technologist, Other (Surgical Assistant)
3317 S HIGLEY RD, SUITE# 114-304
GILBERT, AZ 85297
Maricopa County (480) 435-1931
DWAYNE DOUGLAS GBELIA SA-C
Specialist/Technologist, Other (Surgical Assistant)
3317 S HIGLEY RD, SUITE 114-171
GILBERT, AZ 85297
Maricopa County (480) 620-4498
MARKEITHA TISHUN ROBINSON CSFA
Specialist/Technologist, Other (Surgical Assistant)
3317 S HIGLEY RD, STE 114 #333
GILBERT, AZ 85297
Maricopa County (562) 688-6881

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 Rae Lakes, LLC's NPI number?

The NPI number for Rae Lakes, LLC is 1407560675. It was assigned to this organization in the NPPES registry on January 11, 2023.

Where is Rae Lakes, LLC located?

Rae Lakes, LLC is located at 3317 S Higley Rd, Gilbert, AZ 85297. The listed phone number is (480) 868-1864.

What is Rae Lakes, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Rae Lakes, LLC was last updated on January 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.