Healthcare Provider Details

I. General information

NPI: 1811811698
Provider Name (Legal Business Name): GABRIEL RONALD SAAVEDRA DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 09/13/2026
Certification Date: 09/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40930 N IRONWOOD DR STE 109
QUEEN CREEK AZ
85140-8829
US

IV. Provider business mailing address

40930 N IRONWOOD DR STE 109
QUEEN CREEK AZ
85140-8829
US

V. Phone/Fax

Practice location:
  • Phone: 480-347-0753
  • Fax:
Mailing address:
  • Phone: 480-347-0753
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberD012929
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: