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AN ELEGANT SMILE P.C. NPI 1053631309


NPI Information

NPI: 1053631309
Provider Name: AN ELEGANT SMILE P.C.

Doing Business As: AN ELEGANT SMILE DENTISTRY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1425 S GREENFIELD RD
BLDG 2 STE 110
MESA, AZ
ZIP 85206
Phone: (480) 854-3434
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AN ELEGANT SMILE P.C. is a general practice dentist in Mesa, 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. AN ELEGANT SMILE P.C. NPI is 1053631309. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As An Elegant Smile Dentistry.

The provider's business location address is:

1425 S GREENFIELD RD
BLDG 2 STE 110
MESA, AZ
ZIP 85206-529
Phone: (480) 854-3434
Fax: (480) 854-2640

The provider's authorized official is Monica Vitela .
The authorized official title is Credentialing Coordinator and has the following contact phone number (602) 482-7000.

The enumeration date for this NPI number is 6/9/2010 and was last updated on 6/9/2010.


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
11223S0112XDentistOral and Maxillofacial SurgeryNo
21223X0400XDentistOrthodontics and Dentofacial OrthopedicsNo
31223G0001XDentistGeneral PracticeYes

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: 11/14/2023

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