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

Red Mountain Family Dental, PC

Organization Dentist · NPI 1215212279

Red Mountain Family Dental, PC is a Dentist in Mesa, Arizona. Licensed in Arizona. Registered with an NPI since 2011.

Licensed in
AZ
In the registry since
2011
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4704 E Southern Ave
Mesa, AZ 85206-2737
Phone: (480) 648-4037
Fax: (480) 696-5505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D6458 (AZ)
Dentist Taxonomy 122300000X · Licence D6458 (AZ)

Record details

NPI number1215212279
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eric Kerbs — President · (480) 648-4037
NPI enumeratedOctober 20, 2011
Last updated in NPPESDecember 6, 2013
Mailing address4704 E Southern Ave, Mesa, AZ 85206-2737

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