SV GILBERT LLC NPI 1710359658

NPI Information

  • NPI: 1710359658
  • Provider Name: SV GILBERT, LLC
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • Doing Business As: SUN VALLEY PEDIATRIC DENTISTRY GILBERT
  • Address: 3592 S ATHERTON BLVD
    SUITE 107
    GILBERT, AZ
    ZIP 85297
  • Phone: (480) 889-1877

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NPI Details

SV GILBERT, LLC is a pediatric dentistry dentist in Gilbert, AZ. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. SV GILBERT, LLC NPI is 1710359658. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sun Valley Pediatric Dentistry Gilbert.

The provider's business location address is:

3592 S ATHERTON BLVD
SUITE 107
GILBERT, AZ
ZIP 85297-443
Phone: (480) 889-1877
Fax: (480) 889-1876

The provider's authorized official is John E Ballard .
The authorized official title is Cfo, Cio and has the following contact phone number (480) 889-9457.

The enumeration date for this NPI number is 10/29/2015 and was last updated on 10/29/2015.

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
11223X0400XDentistOrthodontics and Dentofacial OrthopedicsNo
21223P0221XDentistPediatric DentistryYes

What is NPI?

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This page was last updated on: 3/30/2025

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