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SMILE FOR LIFE PLLC NPI 1619240256


NPI Information

NPI: 1619240256
Provider Name: SMILE FOR LIFE PLLC

Other Name: SMILE FOR LIFE DENTISTRY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
10209 N 35TH AVE
STE 129
PHOENIX, AZ
ZIP 85051
Phone: (602) 789-1131
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SMILE FOR LIFE PLLC is a general practice dentist in Phoenix, AZ. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. SMILE FOR LIFE PLLC NPI is 1619240256. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Smile For Life Dentistry.

The provider's business location address is:

10209 N 35TH AVE
STE 129
PHOENIX, AZ
ZIP 85051-589
Phone: (602) 789-1131
Fax: (602) 789-9387

The provider's authorized official is Chia Ying Wu .
The authorized official title is Dentist/owner and has the following contact phone number (623) 221-1346.

The enumeration date for this NPI number is 2/13/2012 and was last updated on 5/7/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeD07763ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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