Elliot Road Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ELLIOT ROAD DENTAL PLLC

Doing business as

Do Good Dental

Practice address

2010 E Elliot Rd Ste 105
Tempe, AZ 85284-1790

Phone

(480) 839-7996

NPI assigned

Oct 22, 2019

Organization subpart

No

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

Authorized official

Name

Faith Gaskins

Title

Director of Credentialing

Phone

(972) 869-3789

Specialties & licenses 1

Addresses

Other names 1

• Do Good Dental Doing business as

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572480000000",
    "number": "1588207591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 E ELLIOT RD STE 105",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852841790",
            "telephone_number": "480-839-7996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 E ELLIOT RD STE 105",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852841790",
            "telephone_number": "480-839-7996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIOT ROAD DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-22",
        "last_updated": "2019-10-31",
        "status": "A",
        "authorized_official_last_name": "GASKINS",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Do Good Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jason Elkan, FNP
• Eddy Elkassis
• Tarig Elkhalifa
• Amie S Ell, PHARMD
• Amber Ellington, N.D.
• Alexandra Elliott
• Christine Marie Elliott, M.S., CCC-SP.
• Sanya Elise Elliott
• Karen E Ellis, FNP
• Nicole Ellis, LCSW

• General Practice Dentistry in Tempe, AZ
• Providers in Tempe, 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 Oct 31, 2019; 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.