Julian Dentistry PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JULIAN DENTISTRY PLLC

Practice address

10545 E Southern Ave
Mesa, AZ 85209-3893

Phone

(509) 499-1612

NPI assigned

Jan 1, 2024

Last updated

Jan 1, 2024By 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

Walter Clark Julian, DDSNPI 1780316745

Title

Dentist

Phone

(509) 499-1612

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Walter Clark Julian, DDS

  • General Practice Dentistry
  • Gilbert, AZ
  • NPI 1780316745
  NPD Authorized official

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

{
    "created_epoch": "1704067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704067200000",
    "number": "1679342653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3059 E APPALOOSA RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852960548",
            "telephone_number": "509-499-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10545 E SOUTHERN AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852093893",
            "telephone_number": "509-499-1612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIAN DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-01",
        "last_updated": "2024-01-01",
        "certification_date": "2024-01-01",
        "status": "A",
        "authorized_official_last_name": "JULIAN",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "509-499-1612",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ayodeji Jubril, MD
• Chance Allan Judd, PA-C
• Jason Knapp Judd, DDS MSD
• Linda Judd
• Judy M Pinsonneault, D.O., P.C.
• Hayley Jull
• Syeda Jumana, RPH
• Neal F. Junck, M.D.
• June Siegel MSW Cisw PC
• Michael Jung, DMD

• Dental Clinic/Center in Mesa, AZ
• Providers in Mesa, 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 Jan 1, 2024; 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.