Organization Active NPI

Ivory Implant Dentistry PLLC

  • Dentist
  • Gilbert, AZ
National Provider Identifier
1649198219
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
IVORY IMPLANT DENTISTRY PLLC
Practice address
1757 E Baseline Rd Ste 109
Gilbert, AZ 85233-1533
Phone
(480) 573-2026
Fax
(480) 573-2036
NPI assigned
Jul 9, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Authorized official

Name
Adam Matthew Gardner
Title
Office Manager
Phone
(480) 573-2026

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1757 E Baseline Rd Ste 109
Gilbert, AZ 85233-1533

Mailing address

1757 E Baseline Rd Ste 109
Gilbert, AZ 85233-1533
Phone (480) 573-2026

National Provider Directory

National Provider Directory

Locations

1757 E Baseline Rd
Ste 109
Gilbert, AZ 85233
Phone (480) 452-7390

NPI Registry JSON

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

{
    "created_epoch": "1783555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1649198219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1757 E BASELINE RD STE 109",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852331533",
            "telephone_number": "480-573-2026",
            "fax_number": "480-573-2036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1757 E BASELINE RD STE 109",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852331533",
            "telephone_number": "480-573-2026",
            "fax_number": "480-573-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVORY IMPLANT DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-09",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "480-573-2026"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; 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.