# NORTH GROVES DENTAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GILBERT ROAD DENTAL CARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730490228
- **Authorized official:** JASON KOLE PERKINS D.D.S. (OWNER)
- **Authorized official phone:** (480) 649-7200

## Contact information

- **Practice address:** 2158 N GILBERT RD, STE 123, MESA, AZ 85203
- **Practice address phone:** (480) 649-7200
- **Mailing address:** 2158 N GILBERT RD, STE 123, MESA, AZ 85203
- **Mailing address phone:** (480) 649-7200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 7286 | AZ | Yes |

## Other

- **Enumeration date:** 06/29/2010
- **Last updated:** 09/15/2010