Sunrise Smile Center LLC

Primary specialty

DentistTaxonomy code 122300000X

License

5737 Issued in AZ

Legal business name

SUNRISE SMILE CENTER LLC

Practice address

3029 N Alma School Rd
Suite 110
Chandler, AZ 85224-1464

Phone

(480) 993-3870

Fax

(480) 777-5958

NPI assigned

May 4, 2007

Last updated

Nov 3, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Olga Revilla Nouri, DMD

Title

Dentist

Phone

(480) 993-3870

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1003028572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3029 N ALMA SCHOOL RD",
            "address_2": "SUITE 110",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852241464",
            "telephone_number": "480-993-3870",
            "fax_number": "480-777-5958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3029 N ALMA SCHOOL RD",
            "address_2": "SUITE 110",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852241464",
            "telephone_number": "480-993-3870",
            "fax_number": "480-777-5958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE SMILE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "NOURI",
        "authorized_official_first_name": "OLGA",
        "authorized_official_middle_name": "REVILLA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "480-993-3870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "5737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.