Active NPI
GBH Dental LLC
- Dental Clinic/Center
- Tempe, AZ
National Provider Identifier
1710319371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Dentist
- Tempe, AZ
- NPI 1235238254
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.