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

East Valley Implant and Periodontal PLLC

Organization Periodontics · NPI 1457900656

East Valley Implant and Periodontal PLLC is a Periodontics in Mesa, Arizona. Works from 2 locations. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3048 E Baseline Rd Ste 112
Mesa, AZ 85204-7287
Phone: (480) 376-2848
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8952 E Desert Cove Ave # D101, Scottsdale, AZ 85260-6775 — (480) 376-2848

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X

Record details

NPI number1457900656
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Victoria Johnson — Cro · (941) 444-0558
NPI enumeratedSeptember 10, 2019
Last updated in NPPESJuly 21, 2026
Certification dateJuly 21, 2026
Mailing address8952 E Desert Cove Ave # D101, Scottsdale, AZ 85260-6775

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