Organization Active NPI

GBH Dental LLC

  • Dental Clinic/Center
  • Tempe, AZ
National Provider Identifier
1710319371
Registry record updated Dec 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
GBH DENTAL LLC
Practice address
1628 E Southern Ave Ste 5
Tempe, AZ 85282-5685
Phone
(480) 831-3898
Fax
(480) 831-9352
NPI assigned
Aug 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2015

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

Authorized official

Name
Dr. Brett Hawkins, D.D.S.
Title
Owner/Dentist
Phone
(602) 363-3322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1628 E Southern Ave Ste 5
Tempe, AZ 85282-5685

Mailing address

1628 E Southern Ave Ste 5
Tempe, AZ 85282-5685
Phone (480) 831-3898

National Provider Directory

National Provider Directory

Locations

1628 E Southern Ave
Ste 5
Tempe, AZ 85282
Phone (480) 831-3898

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450396800000",
    "number": "1710319371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1628 E SOUTHERN AVE STE 5",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852825685",
            "telephone_number": "480-831-3898",
            "fax_number": "480-831-9352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1628 E SOUTHERN AVE STE 5",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852825685",
            "telephone_number": "480-831-3898",
            "fax_number": "480-831-9352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GBH DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-06",
        "last_updated": "2015-12-18",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "602-363-3322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; 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.