Southwest Smiles, Llc in Mesa - Dental Hygienist
Southwest Smiles, Llc - NPI 1013101419
Southwest Smiles, Llc is a Dental Hygienist in Mesa, Arizona. Southwest Smiles, Llc practices all healthcare services and medical treatments related to Dental Hygienist. The NPI Number for Southwest Smiles, Llc is 1013101419. The last update date is 2007-08-29.
Southwest Smiles, Llc's current location address is 11512 E Queensborough Ave, Mesa, Arizona. You can contact this provider via phone number 4809516598 and fax number 4804521811. The mailing address for Southwest Smiles, Llc is 11512 E Queensborough Ave, Mesa, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southwest Smiles, Llc |
|---|---|
| Address | 11512 E Queensborough Ave, Mesa, Arizona |
| Phone Number | 4809516598 |
| Fax Number | 4804521811 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGING M |
|---|---|
| Authorized Official Name | Povar Marie Kelly |
| Credentials | RDH |
| Telephone Number | 4809516598 |
NPI Number Detail
| NPI Number | 1013101419 |
|---|---|
| Provider Enumeration Date | 2007-08-29 |
| Last Updated Date | 2007-08-29 |
Provider Mailing Address Detail
| Address | 11512 E Queensborough Ave |
|---|---|
| City | Mesa |
| State | Arizona (AZ) |
| Post Code | 852124091 |
| Phone Number | 4809516598 |
| Fax Number | 4804521811 |
Provider's Primary Taxonomy Detail
| Speciality | Dental Hygienist |
|---|---|
| Taxonomy | 124Q00000X |
| Licence No | 5585 |
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Definition: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be |
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What is the unique provider identifier assigned to Southwest Smiles, Llc?
The Southwest Smiles, Llc has been issued the NPI (National Provider Identifier) 1013101419 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Southwest Smiles, Llc located?
The Southwest Smiles, Llc is located at 11512 E Queensborough Ave, Mesa, AZ 852124091.
What is Southwest Smiles, Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Southwest Smiles, Llc's specialized field of practice is Dental Hygienist, and the corresponding taxonomy code that categorizes this area of specialization is 124Q00000X.
When did Southwest Smiles, Llc receive its 1013101419 assignment?
The Southwest Smiles, Llc was assigned its 1013101419 on 2007-08-29, which is the date when this unique identifier was issued to the organization.
When was the information related to Southwest Smiles, Llc most recently updated or refreshed?
The details pertaining to the Southwest Smiles, Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-08-29.