Gentle Tooth Doctor PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5745 Issued in AZ

Legal business name

GENTLE TOOTH DOCTOR PLLC

Practice address

4435 E Broadway Rd # 9
Mesa, AZ 85206-2012

Phone

(480) 397-0635

NPI assigned

Apr 28, 2015

Last updated

Apr 28, 2015By 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

Dr. Bryan T Tran, DDSNPI 1134179633

Title

Owner/ President

Phone

(480) 250-2570

Specialties & licenses 1

Addresses

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.

• Bryan Tuan Tran, D.D.S.

  • General Practice Dentistry
  • Phoenix, AZ
  • NPI 1134179633
  Authorized official Same address or phone

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

{
    "created_epoch": "1430179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430179200000",
    "number": "1801273818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5638 E THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850188117",
            "telephone_number": "480-990-2343",
            "fax_number": "480-947-7937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4435 E BROADWAY RD # 9",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852062012",
            "telephone_number": "480-397-0635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE TOOTH DOCTOR PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-28",
        "last_updated": "2015-04-28",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "480-250-2570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "5745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Macario Melvin Gentile III, DDS
• Gentle Behavioral Health PLLC
• Katie Gentry, LCSW
• Susan Gentry, CCP
• Bill Gentsch, PHARM.D.
• Genuine Companionship Group Home
• George M Obrien DO PLLC

• General Practice Dentistry in Mesa, AZ
• Providers in Mesa, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.