OrganizationActive
Gordon K. Roediger, D.D.S., Eastside, P.C.
NPI 1811171226 · Dentist · Tucson, AZ
Gordon K. Roediger, D.D.S., Eastside, P.C. is a Dentist organization in Tucson, AZ (NPI 1811171226).
Provider details
- NPI number
- 1811171226
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Gordon Roediger, President/Owner(520) 795-3773
- License
- 2385 (AZ)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
5190 E Farness Dr Ste 100
Tucson, AZ 85712-2142
Phone: (520) 795-3773
Fax: (520) 795-4008
Street-level locationGet directions
Mailing address
5190 E Farness Dr Ste 100
Tucson, AZ 85712-2142
Other names (DBA / former)
- Doing business as
- Acacia Family Dental Group
Registry dates
- Enumerated
- 2007-12-20
- Last updated
- 2007-12-20
Frequently asked questions
- What is Gordon K. Roediger, D.D.S., Eastside, P.C.'s NPI number?
- Gordon K. Roediger, D.D.S., Eastside, P.C.'s National Provider Identifier (NPI) is 1811171226, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Gordon K. Roediger, D.D.S., Eastside, P.C.?
- Gordon K. Roediger, D.D.S., Eastside, P.C. is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Gordon K. Roediger, D.D.S., Eastside, P.C. located?
- Gordon K. Roediger, D.D.S., Eastside, P.C.'s practice location on file with NPPES is 5190 E Farness Dr Ste 100, Tucson, AZ 85712-2142.
- What is Gordon K. Roediger, D.D.S., Eastside, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Gordon K. Roediger, D.D.S., Eastside, P.C. is (520) 795-3773.
- Who is the authorized official for Gordon K. Roediger, D.D.S., Eastside, P.C.?
- The authorized official listed on Gordon K. Roediger, D.D.S., Eastside, P.C.'s NPPES record is Gordon Roediger, President/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Gordon K. Roediger, D.D.S., Eastside, P.C.'s NPI active?
- Yes — Gordon K. Roediger, D.D.S., Eastside, P.C.'s NPI (1811171226) is active in the NPPES registry as of the last update on 2007-12-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.