Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

East Valley Implant & Periodontal Center

Organization Periodontics · NPI 1376019075

East Valley Implant & Periodontal Center is a Periodontics in Mesa, Arizona. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

3048 E Baseline Rd Ste 112
Mesa, AZ 85204-7287
Phone: (480) 558-4504
Fax: (480) 827-9703
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X

Record details

NPI number1376019075
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brett Lee — Office Manager · (480) 558-4504
NPI enumeratedOctober 19, 2018
Last updated in NPPESOctober 19, 2018
Mailing address3048 E Baseline Rd Ste 112, Mesa, AZ 85204-7287

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