Sonrisas Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SONRISAS DENTAL LLC

Doing business as

Legacy Smiles of Southern Arizona

Practice address

261 W Duval Rd
Green Valley, AZ 85614-4356

Phone

(520) 625-0131

NPI assigned

May 3, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Job Torres-Gomez, D.M.D.NPI 1619418654

Title

Dentist

Phone

(928) 273-1244

Specialties & licenses 1

Addresses

Other names 1

• Legacy Smiles of Southern Arizona Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Job Torres-Gomez, D.M.D.

  • Dentist
  • Offutt AFB, NE
  • NPI 1619418654
  NPD Authorized official
• Dawnie Kildoo, DDS

  • General Practice Dentistry
  • Green Valley, AZ
  • NPI 1679647671
  NPD (past)

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

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652572800000",
    "number": "1154066215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 W DUVAL RD",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856144356",
            "telephone_number": "520-625-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 W DUVAL RD",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856144356",
            "telephone_number": "520-625-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONRISAS DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-03",
        "last_updated": "2022-05-15",
        "certification_date": "2022-05-15",
        "status": "A",
        "authorized_official_last_name": "TORRES-GOMEZ",
        "authorized_official_first_name": "JOB",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "928-273-1244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Smiles of Southern Arizona",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• SMSJ Tucson Holdings, LLC (St. Mary's Hospital Medical Mall at Green Valley)
• SND Scooters LLC
• Patricia F Snow, PHARM. D.
• Felicia D Solis-Cummings
• Sonora Quest Laboratories LLC (Sonora Quest Laboratories)
• Southern Arizona Podiatry LLC (Southern Arizona Podiatry)
• Southern Arizona Sleep Solutions
• Southwestern Eye Center (Southwestern Eye Center-Green Valley)
• John Ryan Sparks, PMHNP
• Sharon Sterling, LCSW

• Dental Clinic/Center in Green Valley, AZ
• Providers in Green Valley, AZ by specialty
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2022; 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.