Aesthetic Smiles of Queen Creek

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

AESTHETIC SMILES OF QUEEN CREEK

Practice address

22362 E. Domingo Rd. Suite 102
Queen Creek, AZ 85142

Phone

(480) 652-5797

NPI assigned

Sep 7, 2023

Last updated

Sep 7, 2023By 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. Cameron Weaver Blyth, DMDNPI 1396025573

Title

Dentist

Phone

(480) 652-5797

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cameron Weaver Blyth, D.M.D

  • Dentist
  • Queen Creek, AZ
  • NPI 1396025573
  NPD Authorized official

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

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1013793785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19106 E MARY ANN WAY",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851429911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22362 E. DOMINGO RD. SUITE 102",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "85142",
            "telephone_number": "480-652-5797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AESTHETIC SMILES OF QUEEN CREEK",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-05",
        "status": "A",
        "authorized_official_last_name": "BLYTH",
        "authorized_official_first_name": "CAMERON",
        "authorized_official_middle_name": "WEAVER",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "480-652-5797",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Adamczyk, PTA
• Allen T. Adams, P.T.
• Morgan Adelman, PA-C
• Ayomipo Emmanuel Adeyemo, PHARMD
• Maria Adney, SLP
• Age Defying Dentistry
• Angela Ainsworth, M.S., CCC-SLP
• Akdhc, LLC
• Lucy Akpan
• Alexander Dental Creations PLLC (Alexander Family Dental)

• Dental Clinic/Center in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.