Active NPI
Smiles of Beauty at Avondale PC
- General Practice Dentistry
- Avondale, AZ
National Provider Identifier
1083702484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- SMILES OF BEAUTY AT AVONDALE PC
- Practice address
- 10750 W McDowell Rd
Suite F610
Avondale, AZ 85323 - Phone
- (623) 474-2900
- Fax
- (623) 474-2905
- NPI assigned
- Oct 11, 2006
- Last updated
- Aug 22, 2020
- 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
- Renee Hanley
- Title
- Office Manager
- Phone
- (623) 474-2900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | NU | Primary |
Addresses
Primary practice location
10750 W McDowell Rd
Suite F610
Avondale, AZ 85323
Mailing address
10750 W McDowell Rd
Suite F610
Avondale, AZ 85323
Phone (623) 474-2900
Other names 1
- Smiles of Beauty
National Provider Directory
National Provider DirectoryLocations
10750 W McDowell Rd
Ste F610
Avondale, AZ 85392
Phone (480) 581-9591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1083702484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10750 W MCDOWELL RD",
"address_2": "SUITE F610",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "85323",
"telephone_number": "623-474-2900",
"fax_number": "623-474-2905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10750 W MCDOWELL RD",
"address_2": "SUITE F610",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "85323",
"telephone_number": "623-474-2900",
"fax_number": "623-474-2905"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMILES OF BEAUTY AT AVONDALE PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-11",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HANLEY",
"authorized_official_first_name": "RENEE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "623-474-2900"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Smiles of Beauty",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Avondale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.