SKIN DEEP AESTHETICS LLC NPI 1871051383

NPI Information

  • NPI: 1871051383
  • Provider Name: SKIN DEEP AESTHETICS, LLC
  • Classification: Dermatology - 207NS0135X
  • Specialization: Procedural Dermatology
  • Entity Type: Organization
  • Doing Business As: SKIN DEEP DERMATOLOGY & AESTHETICS
  • Address: 1714 W GUADALUPE RD STE 201
    GILBERT, AZ
    ZIP 85233
  • Phone: (480) 980-1968

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NPI Details

SKIN DEEP AESTHETICS, LLC is a procedural dermatology dermatology in Gilbert, AZ. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). SKIN DEEP AESTHETICS, LLC NPI is 1871051383. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Skin Deep Dermatology & Aesthetics.

The provider's business location address is:

1714 W GUADALUPE RD STE 201
GILBERT, AZ
ZIP 85233-943
Phone: (480) 980-1968

The provider's authorized official is Mary Frausto .
The authorized official title is Owner/ Provider and has the following contact phone number (480) 980-1968.

The enumeration date for this NPI number is 3/5/2019 and was last updated on 3/6/2019.

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
1207NS0135XDermatologyProcedural DermatologyYes

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This page was last updated on: 11/21/2025

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