NPIMap

Organization Active NPI

Ge Dental PLLC

  • Dental Clinic/Center
  • Mesa, AZ
National Provider Identifier
1447898481
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
GE DENTAL PLLC
Practice address
944 N Gilbert Rd Ste 104
Mesa, AZ 85203-5836
Phone
(480) 649-7200
NPI assigned
Dec 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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

Authorized official

Name
Dr. Quinton W Gardner, DMDNPI 1861655953
Title
Owner/Dentist
Phone
(480) 649-7200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

944 N Gilbert Rd Ste 104
Mesa, AZ 85203-5836

Mailing address

3848 E Mallory St
Mesa, AZ 85215-1714
Phone (480) 238-7369

Other identifiers 1

IdentifierTypeStateIssuer
D7791OtherAZARIZONA DENTAL LICENSE

Other names 1

  • Gilbert Road Dental Care Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL drgardner@gilbertroaddental.com Direct

National Provider Directory

National Provider Directory

Locations

944 N Gilbert Rd
Ste 104
Mesa, AZ 85203
Phone (480) 649-7200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1576713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578614400000",
    "number": "1447898481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3848 E MALLORY ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852151714",
            "telephone_number": "480-238-7369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "944 N GILBERT RD STE 104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852035836",
            "telephone_number": "480-649-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-19",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "QUINTON",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "480-649-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA DENTAL LICENSE",
            "identifier": "D7791",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "drgardner@gilbertroaddental.com",
            "affiliation": "N",
            "endpointDescription": "private email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "944 N Gilbert Rd Ste 104",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852035836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Gilbert Road Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; 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.