SFJG Holdings LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SFJG HOLDINGS LLC

Practice address

3414 W. Union Hills Dr
Suite 12 & 14
Phoenix, AZ 85027

Phone

(623) 434-0620

Fax

(623) 434-0619

NPI assigned

Mar 29, 2012

Organization subpart

No

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

Authorized official

Name

Taroll A Graziano, BS

Title

Managor

Phone

(623) 434-0620

Specialties & licenses 1

Addresses

Other names 1

• dba Deer Valley Smiles Doing business as

Locations

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332979200000",
    "number": "1124394515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3414 W. UNION HILLS DR SUITE 8",
            "address_2": "SUITE H",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85027",
            "telephone_number": "623-434-0620",
            "fax_number": "623-236-9360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3414 W. UNION HILLS DR",
            "address_2": "SUITE 12 & 14",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85027",
            "telephone_number": "623-434-0620",
            "fax_number": "623-434-0619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SFJG HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-29",
        "last_updated": "2012-03-29",
        "status": "A",
        "authorized_official_last_name": "GRAZIANO",
        "authorized_official_first_name": "TAROLL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGOR",
        "authorized_official_telephone_number": "623-434-0620",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba Deer Valley Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; 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.