East Fort Lowell Dental, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

EAST FORT LOWELL DENTAL, LLC

Doing business as

Dehnert Dental

Practice address

3945 E Fort Lowell Rd Ste 209
Tucson, AZ 85712-1037

Phone

(520) 628-2818

NPI assigned

Feb 28, 2023

Last updated

Feb 28, 2023By 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

Jenny Garcia-Rocha

Title

Credentialing Lead

Phone

(972) 869-3789

Specialties & licenses 1

Addresses

Other names 1

• Dehnert Dental Doing business as

Locations

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.

• Piper Paige Quinn Dehnrt, DDS

  • General Practice Dentistry
  • Tucson, AZ
  • NPI 1871670885
  NPD (past)

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

{
    "created_epoch": "1677542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1861191892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3945 E FORT LOWELL RD STE 209",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121037",
            "telephone_number": "520-628-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3945 E FORT LOWELL RD STE 209",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121037",
            "telephone_number": "520-628-2818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST FORT LOWELL DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-28",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A",
        "authorized_official_last_name": "GARCIA-ROCHA",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "CREDENTIALING LEAD",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dehnert Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Lewis Earnest III, MD
• Ryan Earp, M.D.
• Leo Easley II, NURSE PRACTITIONER
• East 22ND Street Dental, P.C. (Dorsett Dentistry)
• East 22ND Street Dental, P.C. (Dorsett Dentistry)
• East River Road Dental LLC (Riverside Dental)
• East Tucson Care Homes, LLC (1 Abbey adult care home)
• East Tucson Im & Geriatrics, Inc
• East Valley Surgical Services, LLC
• Rylan D East, PA-C

• General Practice Dentistry in Tucson, AZ
• Providers in Tucson, 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 Feb 28, 2023; 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.