Eastridge Family Dentistry, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

EASTRIDGE FAMILY DENTISTRY, INC.

Practice address

9937 E Baseline Rd
Ste. 104
Mesa, AZ 85209-8330

Phone

(480) 615-8585

Fax

(480) 615-8686

NPI assigned

Dec 11, 2006

Organization subpart

No

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

Authorized official

Name

Jonathan G. Lovell, DMD

Title

Co-President

Phone

(480) 615-8585

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Michelle Rock, DDS

  • General Practice Dentistry
  • Mesa, AZ
  • NPI 1366416836

  General Practice

  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952461998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9937 E BASELINE RD",
            "address_2": "STE. 104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852098330",
            "telephone_number": "480-615-8585",
            "fax_number": "480-615-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9937 E BASELINE RD",
            "address_2": "STE. 104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852098330",
            "telephone_number": "480-615-8585",
            "fax_number": "480-615-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTRIDGE FAMILY DENTISTRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOVELL",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "CO-PRESIDENT",
        "authorized_official_telephone_number": "480-615-8585",
        "authorized_official_credential": "DMD"
    },
    "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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• Joann Eastman, FNP-BC
• Aphrodite Easton, MSW
• Erika M Eastwood, M.S., CCC-SLP
• Jake Eastwood, COTA/L
• Vicki Lee Eaton, LCSW
• Loren Eberhard, PA
• Lori Christine Ebert, PHD

• All providers in Mesa, AZ
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.