SOUTHWESTERN SMILE DESIGN LLC NPI 1437394731

NPI Information

NPI: 1437394731
Provider Name: SOUTHWESTERN SMILE DESIGN, LLC

Doing Business As: MOUNTAIN VIEW DENTISTRY

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

Specialization: Dental

Address:
18775 N REEMS RD
C-300
SURPRISE, AZ
ZIP 85374
Phone: (623) 584-3965
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SOUTHWESTERN SMILE DESIGN, LLC is a dental clinic center in Surprise, AZ. SOUTHWESTERN SMILE DESIGN, LLC NPI is 1437394731. The provider is registered as an organization entity type.
The provider Is Doing Business As Mountain View Dentistry.

The provider's business location address is:

18775 N REEMS RD
C-300
SURPRISE, AZ
ZIP 85374-647
Phone: (623) 584-3965
Fax: (623) 584-0130

The provider's authorized official is Mitchell Ward Ellingson .
The authorized official title is Owner/dentist and has the following contact phone number (623) 377-6185.

The enumeration date for this NPI number is 12/16/2008 and was last updated on 12/16/2008.

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	D7229	ARIZONA	Yes

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

NPI Synchronization or Removal

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