Arizona Mobile Dentistry, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ARIZONA MOBILE DENTISTRY, LLC

Practice address

865 E Baseline Rd # 1004
Gilbert, AZ 85233-1246

Phone

(801) 430-9262

NPI assigned

Jun 1, 2026

Organization subpart

Yes

Parent organization

JET MANAGEMENT SERVICES, LLCAs reported in NPPES

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

Authorized official

Name

Darra Thomas-Davis

Title

Paralegal

Phone

(801) 430-9262

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1780272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780272000000",
    "number": "1831021328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 E BASELINE RD # 1004",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852331246",
            "telephone_number": "801-430-9262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 E BASELINE RD # 1004",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852331246",
            "telephone_number": "801-430-9262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA MOBILE DENTISTRY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JET MANAGEMENT SERVICES, LLC",
        "enumeration_date": "2026-06-01",
        "last_updated": "2026-06-01",
        "certification_date": "2026-05-20",
        "status": "A",
        "authorized_official_last_name": "THOMAS-DAVIS",
        "authorized_official_first_name": "DARRA",
        "authorized_official_title_or_position": "PARALEGAL",
        "authorized_official_telephone_number": "801-430-9262"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Gilbert, AZ
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; 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.