OrganizationActive
East Valley Implant and Periodontal PLLC
NPI 1457900656 · Periodontics · Mesa, AZ
East Valley Implant and Periodontal PLLC is a Periodontics organization in Mesa, AZ (NPI 1457900656).
Provider details
- NPI number
- 1457900656
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Mike Cole, Vp Insurance Plan Management(941) 955-3150
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3048 E Baseline Rd Ste 112
Mesa, AZ 85204-7287
Phone: (480) 376-2848
Street-level locationGet directions
Mailing address
8952 E Desert Cove Ave # D101
Scottsdale, AZ 85260-6775
Additional practice locations (1)
- 8952 E Desert Cove Ave # D101Scottsdale, AZ 85260-6775Phone: (480) 376-2848
Registry dates
- Enumerated
- 2019-09-10
- Last updated
- 2019-09-10
Frequently asked questions
- What is East Valley Implant and Periodontal PLLC's NPI number?
- East Valley Implant and Periodontal PLLC's National Provider Identifier (NPI) is 1457900656, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is East Valley Implant and Periodontal PLLC?
- East Valley Implant and Periodontal PLLC is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is East Valley Implant and Periodontal PLLC located?
- East Valley Implant and Periodontal PLLC's practice location on file with NPPES is 3048 E Baseline Rd Ste 112, Mesa, AZ 85204-7287.
- What is East Valley Implant and Periodontal PLLC's phone number?
- The practice phone number listed in the NPPES registry for East Valley Implant and Periodontal PLLC is (480) 376-2848.
- Who is the authorized official for East Valley Implant and Periodontal PLLC?
- The authorized official listed on East Valley Implant and Periodontal PLLC's NPPES record is Mike Cole, Vp Insurance Plan Management. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is East Valley Implant and Periodontal PLLC's NPI active?
- Yes — East Valley Implant and Periodontal PLLC's NPI (1457900656) is active in the NPPES registry as of the last update on 2019-09-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.