Fountain Family Dental Center, PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

6458 Issued in AZ

Legal business name

FOUNTAIN FAMILY DENTAL CENTER, PLLC

Practice address

3930 S Alma School Rd Ste 6
Chandler, AZ 85248-4510

Phone

(480) 222-8083

Fax

(480) 222-8084

NPI assigned

May 4, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Eric L Kerbs, DDS

Title

Managing Member

Phone

(480) 766-8486

Specialties & licenses 2

Addresses

Other names 1

• Fountains Family Dental Center Doing business as

Locations

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272931200000",
    "number": "1700103538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 S ALMA SCHOOL RD STE 6",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852484510",
            "telephone_number": "480-222-8083",
            "fax_number": "480-222-8084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 S ALMA SCHOOL RD STE 6",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852484510",
            "telephone_number": "480-222-8083",
            "fax_number": "480-222-8084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN FAMILY DENTAL CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-04",
        "last_updated": "2010-05-04",
        "status": "A",
        "authorized_official_last_name": "KERBS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "480-766-8486",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "6458",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "6458",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fountains Family Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amarai Foster
• Dayovion Foster
• Emily Catherine Foster, LPC, NCC, MA
• Lauren Ashley Foster
• Foundational Physical Therapy LLC
• Fountains Dental Care LLC
• Fountains Family Care, P.C.
• Four Pathways Mental Health
• Four Peaks Anesthesia Consultants, LLC
• Four Peaks Physical Therapy PC

• Dentist in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; 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.