Prime Family Dental Care, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D6458 Issued in AZ

Legal business name

PRIME FAMILY DENTAL CARE, PC

Practice address

4704 E Southern Ave
Mesa, AZ 85206-2737

Phone

(480) 648-4037

Fax

(480) 696-5505

NPI assigned

May 17, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Eric Kerbs, DDS

Title

President

Phone

(480) 648-4037

Specialties & licenses 2

Addresses

Other names 1

• Prime Family Dental Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1305590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386288000000",
    "number": "1326331828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4704 E SOUTHERN AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852062737",
            "telephone_number": "480-648-4037",
            "fax_number": "480-696-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4704 E SOUTHERN AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852062737",
            "telephone_number": "480-648-4037",
            "fax_number": "480-696-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME FAMILY DENTAL CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-17",
        "last_updated": "2013-12-06",
        "status": "A",
        "authorized_official_last_name": "KERBS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-648-4037",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D6458",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D6458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime Family Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Scott Price, M.D.
• Tess Price, NMD
• Pride Family Ser
• Primary Care Practice of Arizona, PLLC
• Prime Anesthesia Consultants, LLC
• Prime Surgical Center of Mesa, LLC
• Sarah Marie Prince, LMT
• Principal Surgical Center LLC
• Joshua Lemoyne Pringle, MD
• Matesa S. Pringle, NMD

• General Practice Dentistry in Mesa, AZ
• Providers in Mesa, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.