Alexander Eric Smith, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D010845 Issued in AZ

Practice address

6702 W Camelback Rd Ste 100
Glendale, AZ 85303-6324

Phone

(602) 635-7450

NPI assigned

Oct 9, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dental and Braces Maryvale LLC

  • Health Service Clinic/Center
  • Glendale, AZ
  • NPI 1871058891
  NPD (past)

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

{
    "created_epoch": "1602201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1134727449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6012 W KERRY LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853087681",
            "telephone_number": "248-752-0807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6702 W CAMELBACK RD STE 100",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853036324",
            "telephone_number": "602-635-7450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ALEXANDER",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-09",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D010845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smile Today Arrowhead, LLC
• Smile Transformation Centre LLC
• Smiles Divine Dental TMD Craniofacial Pain Center
• Smiles of America-Arrowhead PLLC
• Smith Chiropractic Center at Arrowhead
• Brandi Smith
• Cindi L. Smith, OCCUPATIONAL THERAPI
• Cole William Smith
• Daniel Duane Smith, D.C.
• David Michael Smith, D.O.

• General Practice Dentistry in Glendale, AZ
• Providers in Glendale, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.

Verify at the official NPI Registry.