Organization
GILBERT KIDTASTIC DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH GASKINS (DIRECTOR OF CREDENTIALING)
(972) 869-3789
Entity
Organization
Contact information
Practice address
3303 E QUEEN CREEK RD STE 106, GILBERT, AZ 85297-8532
(480) 988-2079
Mailing address
3303 E QUEEN CREEK RD STE 106, GILBERT, AZ 85297-8532
(480) 988-2079
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up