IndividualActive
Chad Cravatta, DMD, MS
NPI 1457579302 · Periodontics · Mesa, AZ
Provider details
- NPI number
- 1457579302
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DMD, MS
- Sex
- Male
- Sole proprietor
- Yes
- License
- D7052 (AZ)
Practice location
2220 W Southern Ave
Ste 101
Mesa, AZ 85202-4704
Phone: (480) 834-6005
Fax: (480) 464-8237
Mailing address
2220 W Southern Ave
Mesa, AZ 85202-4704
Registry dates
- Enumerated
- 2007-04-23
- Last updated
- 2016-05-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.