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GLENDALE DENTAL SMILES NPI 1578280764


NPI Information

NPI: 1578280764
Provider Name: GLENDALE DENTAL SMILES
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
5310 W THUNDERBIRD RD STE 111
GLENDALE, AZ
ZIP 85306
Phone: (623) 300-1149
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GLENDALE DENTAL SMILES is a dental clinic center in Glendale, AZ. GLENDALE DENTAL SMILES NPI is 1578280764. The provider is registered as an organization entity type.

The provider's business location address is:

5310 W THUNDERBIRD RD STE 111
GLENDALE, AZ
ZIP 85306-709
Phone: (623) 300-1149

The provider's authorized official is Tera Niedens .
The authorized official title is Accountant and has the following contact phone number (623) 289-2616.

The enumeration date for this NPI number is 10/27/2022 and was last updated on 10/27/2022.


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
1261QD0000XClinic/CenterDentalYes

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: 5/5/2024

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