MESA IMPLANTS & PERIODONTICS LLC NPI 1205667870

NPI Information

  • NPI: 1205667870
  • Provider Name: MESA IMPLANTS & PERIODONTICS, LLC
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Organization
  • Address: 2812 N NORWALK BLDG 13
    SUITE 126
    MESA, AZ
    ZIP 85215
  • Phone: (480) 203-2666

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NPI Details

MESA IMPLANTS & PERIODONTICS, LLC is a periodontics dentist in Mesa, AZ. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. MESA IMPLANTS & PERIODONTICS, LLC NPI is 1205667870. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2812 N NORWALK BLDG 13
SUITE 126
MESA, AZ
ZIP 85215-148
Phone: (480) 203-2666
Fax: (480) 939-2980

The provider's authorized official is Elodia Maria Garcia .
The authorized official title is Office Manager and has the following contact phone number (480) 203-2666.

The enumeration date for this NPI number is 8/13/2024 and was last updated on 8/13/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0300XDentistPeriodonticsYes
21223S0112XDentistOral and Maxillofacial SurgeryNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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