Active NPI
Marbella Dental Studio
- Dental Clinic/Center
- Scottsdale, AZ
National Provider Identifier
1053110494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.