Elliot Road Dental - Island PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ELLIOT ROAD DENTAL - ISLAND PLLC

Doing business as

Island Dental

Practice address

1489 W Elliot Rd Ste 101
Gilbert, AZ 85233-5168

Phone

(480) 507-9400

NPI assigned

Aug 24, 2021

Last updated

Aug 24, 2021By the provider in NPPES

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

Credentialing Director

Phone

(972) 869-3789

Specialties & licenses 1

Addresses

Other names 1

• Island Dental Doing business as

Locations

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629763200000",
    "number": "1639846165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1489 W ELLIOT RD STE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852335168",
            "telephone_number": "480-507-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1489 W ELLIOT RD STE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852335168",
            "telephone_number": "480-507-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIOT ROAD DENTAL - ISLAND PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-24",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-03",
        "status": "A",
        "authorized_official_last_name": "GASKINS",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "CREDENTIALING DIRECTOR",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Island Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Change MD PC
• Denise Fatima Elizarraraz, FNP-C
• Isabella Elizondo
• Dalia Elkabli
• Laura Ann Elli, RPH
• Abby Elliott, COTA
• Brian J Elliott, D.O.
• Jennifer L Elliott, D.O.
• Kaitlyn D Elliott, MD
• Ellis DDD Services

• General Practice Dentistry in Gilbert, AZ
• Providers in Gilbert, 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 Aug 24, 2021; 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.