Garrett Dental Group, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D6959 Issued in AZ

Legal business name

GARRETT DENTAL GROUP, PLLC

Practice address

432 E Southern Ave
#1
Phoenix, AZ 85040-9335

Phone

(602) 268-8808

NPI assigned

Jul 17, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jeremy Garrett, DMD

Title

Owner

Phone

(602) 268-8808

Specialties & licenses 1

Addresses

Other names 1

• Bella Vista Family Dentistry Doing business as

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437091200000",
    "number": "1457735508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 E SOUTHERN AVE",
            "address_2": "#1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850409335",
            "telephone_number": "602-268-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 E SOUTHERN AVE",
            "address_2": "#1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850409335",
            "telephone_number": "602-268-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARRETT DENTAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-17",
        "last_updated": "2015-07-17",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-268-8808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D6959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bella Vista Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tionna Bizahaloni Garner, PHARMD, RPH
• Garnet Hospice Care Inc
• Sedona Marie Garnham-Narro, DPT
• Jennifer Garnica
• Carlos Roberto Garreton, M.D.
• Allison Garrett, LPC
• Daniel H Garrett, DDS
• Desiree Garrett
• Michael McClure Garrett, M.D.
• Nikita Garrett, FNP-BC

• General Practice Dentistry in Phoenix, AZ
• Providers in Phoenix, 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 Jul 17, 2015; 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.