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SOUTH FRONTAGE ROAD DENTAL PLLC
NPI 1497402465
Dentist - General Practice in Yuma, AZ

Active since March 09, 2022
11259 S FRONTAGE RD STE 103, YUMA, AZ 85367(928) 342-7351 Get Directions Write a Review

NPPES record last updated: March 9, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About South Frontage Road Dental Pllc NPPES

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

SOUTH FRONTAGE ROAD DENTAL PLLC (NPI 1497402465), doing business as Gila Ridge Dental -foothills, is a healthcare organization registered as a general practice in Yuma, Arizona and active in the NPI registry since March 2022. The organization lists Vicenta Reyes, Credentialing Lead, as its authorized official.

NPPES Registry Identity

NPI1497402465
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSOUTH FRONTAGE ROAD DENTAL PLLC
Location Address11259 S FRONTAGE RD STE 103Yuma, AZ 85367-7883
Mailing Address11259 S Frontage Rd Ste 103Yuma, AZ 85367-7883 · (928) 342-7351
Phone(928) 342-7351
Organization SubpartNo
Authorized OfficialVicenta ReyesCredentialing Lead · (972) 869-3789
Enumeration DateMarch 9, 2022
NPPES CertifiedMarch 9, 2022
✔ NPI 1497402465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
11259 S FRONTAGE RD STE 103, Yuma, AZ 85367
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Other Names 1

Doing Business AsGila Ridge Dental -foothills

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 2

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

MIN JUNG JIN DMD
Dentist (General Practice)
11259 S FRONTAGE RD STE 103
YUMA, AZ 85367
Yuma County (928) 770-1042
OCOTILLO DENTAL ASSOCIATES LLC
Clinic/Center (Dental)
11259 S FRONTAGE RD STE 103
YUMA, AZ 85367
Yuma County (928) 342-7351

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 South Frontage Road Dental PLLC's NPI number?

The NPI number for South Frontage Road Dental PLLC is 1497402465. It was assigned to this organization in the NPPES registry on March 9, 2022. The provider is doing business as Gila Ridge Dental -Foothills.

Where is South Frontage Road Dental PLLC located?

South Frontage Road Dental PLLC is located at 11259 S Frontage Rd Ste 103, Yuma, AZ 85367. The listed phone number is (928) 342-7351.

What is South Frontage Road Dental PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for South Frontage Road Dental PLLC was last updated on March 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.