FAMILT& ESTHETIC DENTISTRY NPI 1427414341

NPI Information

NPI: 1427414341
Provider Name: FAMILT& ESTHETIC DENTISTRY

Doing Business As: LIFETIME SMILES

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
6666 W PEORIA AVE
GLENDALE, AZ
ZIP 85302
Phone: (623) 878-6000
Get Directions

FAMILT& ESTHETIC DENTISTRY is a dental clinic center in Glendale, AZ. FAMILT& ESTHETIC DENTISTRY NPI is 1427414341. The provider is registered as an organization entity type.
The provider Is Doing Business As Lifetime Smiles.

The provider's business location address is:

6666 W PEORIA AVE
GLENDALE, AZ
ZIP 85302-014
Phone: (623) 878-6000
Fax: (623) 773-2230

The provider's authorized official is Neda Delavari .
The authorized official title is General Dentist and has the following contact phone number (623) 878-6000.

The enumeration date for this NPI number is 1/7/2016 and was last updated on 1/7/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	8667	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8667	OTHER	ARIZONA	DENTAL LICENSE

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

NPI Synchronization or Removal

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