Aristidis Pontikas, DMD, Ms, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

7450 Issued in AZ

Legal business name

ARISTIDIS PONTIKAS, DMD, MS, PLLC

Doing business as

Pontikas Periodontics and Implants

Practice address

301 E Bethany Home Rd
Suite B120
Phoenix, AZ 85012-1263

Phone

(623) 934-1676

Fax

(623) 934-6630

NPI assigned

Feb 6, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Aristidis Pontikas, DMD, MSNPI 1760500169

Title

Owner

Phone

(623) 934-1676

Specialties & licenses 1

Addresses

Other names 1

• Pontikas Periodontics and Implants Doing business as

Locations

Practitioners 1

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

• Aristidis Pontikas, DMD MS

  • Periodontics
  • Phoenix, AZ
  • NPI 1760500169
  NPD (past) Authorized official

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486339200000",
    "number": "1609314038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E BETHANY HOME RD",
            "address_2": "SUITE B120",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121263",
            "telephone_number": "623-934-1676",
            "fax_number": "623-934-6630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E BETHANY HOME RD",
            "address_2": "SUITE B120",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121263",
            "telephone_number": "623-934-1676",
            "fax_number": "623-934-6630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARISTIDIS PONTIKAS, DMD, MS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-06",
        "last_updated": "2017-02-06",
        "status": "A",
        "authorized_official_last_name": "PONTIKAS",
        "authorized_official_first_name": "ARISTIDIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-934-1676",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AZ",
            "license": "7450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pontikas Periodontics and Implants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dental Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; 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.