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ELEGANT SMILES NPI 1902103807


NPI Information

NPI: 1902103807
Provider Name: ELEGANT SMILES
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
4425 N 24TH ST STE 100
PHOENIX, AZ
ZIP 85016
Phone: (602) 354-5800
Get Directions

ELEGANT SMILES 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. ELEGANT SMILES NPI is 1902103807. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4425 N 24TH ST STE 100
PHOENIX, AZ
ZIP 85016-513
Phone: (602) 354-5800
Fax: (602) 354-5860

The provider's authorized official is Mahasin M Hangalay .
The authorized official title is Dentist/owner and has the following contact phone number (602) 354-5800.

The enumeration date for this NPI number is 2/11/2011 and was last updated on 2/11/2011.


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 PracticeD6747ARIZONAYes

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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