Organization · Type 2 NPI

East Valley Implant and Periodontal PLLC

Periodontics · Mesa, AZ

NPI number 1457900656 Active

Practice location

3048 E Baseline Rd Ste 112
Mesa, AZ 85204-7287

Call (480) 376-2848 Map

Mailing address

8952 E Desert Cove Ave # D101
Scottsdale, AZ 85260-6775

Other practice locations

  • 8952 E Desert Cove Ave # D101, Scottsdale, AZ 85260-6775 · (480) 376-2848

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300XNone listed

Periodontics: 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.

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About NPI 1457900656

East Valley Implant and Periodontal PLLC's National Provider Identifier is 1457900656, issued on Sep 10, 2019. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Mesa, AZ. The record was last updated on Jul 21, 2026.