Organization Active NPI

Marbella Dental Studio

  • Dental Clinic/Center
  • Scottsdale, AZ
National Provider Identifier
1053110494
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MARBELLA DENTAL STUDIO
Doing business as
marbella dental studio
Practice address
4845 E Thunderbird Rd Ste 3
Scottsdale, AZ 85254-3539
Phone
(602) 996-1660
Fax
(602) 996-2321
NPI assigned
Mar 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Authorized official

Name
Mrs. Paola A Fann
Title
Owner
Phone
(480) 202-3250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

4845 E Thunderbird Rd Ste 3
Scottsdale, AZ 85254-3539

Mailing address

4845 E Thunderbird Rd Ste 3
Scottsdale, AZ 85254-3539
Phone (602) 996-1660

Other names 1

  • marbella dental studio Doing business as

National Provider Directory

National Provider Directory

Locations

4845 E Thunderbird Rd
Ste 3
Scottsdale, AZ 85254
Phone (602) 996-1660

NPI Registry JSON

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

{
    "created_epoch": "1741564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1053110494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4845 E THUNDERBIRD RD STE 3",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852543539",
            "telephone_number": "602-996-1660",
            "fax_number": "602-996-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4845 E THUNDERBIRD RD STE 3",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852543539",
            "telephone_number": "602-996-1660",
            "fax_number": "602-996-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARBELLA DENTAL STUDIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "FANN",
        "authorized_official_first_name": "PAOLA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-202-3250",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "marbella dental studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.