Organization Active NPI

Jet Dental Arizona, LLC

  • General Practice Dentistry
  • Gilbert, AZ
National Provider Identifier
1407788029
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JET DENTAL ARIZONA, LLC
Practice address
865 E Baseline Rd # 1110
Gilbert, AZ 85233-1246
Phone
(801) 430-9262
NPI assigned
May 29, 2026
Organization subpart
Yes
Parent organization
JET MANAGEMENT SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Authorized official

Name
Darra Thomas-Davis
Title
Paralegal
Phone
(972) 369-2684

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

865 E Baseline Rd # 1110
Gilbert, AZ 85233-1246

Mailing address

865 E Baseline Rd # 1110
Gilbert, AZ 85233-1246
Phone (801) 430-9262

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1780012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780012800000",
    "number": "1407788029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 E BASELINE RD # 1110",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852331246",
            "telephone_number": "801-430-9262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 E BASELINE RD # 1110",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852331246",
            "telephone_number": "801-430-9262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JET DENTAL ARIZONA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JET MANAGEMENT SERVICES, LLC",
        "enumeration_date": "2026-05-29",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-20",
        "status": "A",
        "authorized_official_last_name": "THOMAS-DAVIS",
        "authorized_official_first_name": "DARRA",
        "authorized_official_title_or_position": "PARALEGAL",
        "authorized_official_telephone_number": "972-369-2684"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; 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.