Provider Type Icon

GREENFIELD DENTAL PLLC NPI 1558793430


NPI Information

NPI: 1558793430
Provider Name: GREENFIELD DENTAL PLLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
107 N. GREENFIELD RD.
STE. #2
MESA, AZ
ZIP 85205
Phone: (480) 832-5190
Get Directions

GREENFIELD DENTAL PLLC is a general practice dentist in Mesa, AZ. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. GREENFIELD DENTAL PLLC NPI is 1558793430. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

107 N. GREENFIELD RD.
STE. #2
MESA, AZ
ZIP 85205-802
Phone: (480) 832-5190
Fax: (480) 654-9900

The provider's authorized official is Brannon Jay Gunnell .
The authorized official title is Owner and has the following contact phone number (480) 832-5190.

The enumeration date for this NPI number is 8/2/2013 and was last updated on 8/2/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1122300000XDentist2564ARIZONANo
2122300000XDentist7577ARIZONANo
3122300000XDentist7304ARIZONANo
41223G0001XDentistGeneral PracticeYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.