Smile Dental Group

Primary specialty

DentistTaxonomy code 122300000X

License

D5084 Issued in AZ

Legal business name

SMILE DENTAL GROUP

Doing business as

Scottsdale Casvetri Dental Care Inc New Image Dentistry

Practice address

6524 W Indian School Rd #1287
Phoenix, AZ 85033

Phone

(623) 846-5555

Fax

(623) 846-5619

NPI assigned

Nov 13, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Hedayat Harsini, DDSNPI 1235356262

Title

Owner

Phone

(602) 996-8700

Specialties & licenses 1

Addresses

Other names 1

• Scottsdale Casvetri Dental Care Inc New Image Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hedayat Harsini, DDS

  • Dentist
  • Phoenix, AZ
  • NPI 1235356262
  Authorized official Same address or phone

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215008727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6524 W INDIAN SCHOOL RD #1287",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85033",
            "telephone_number": "623-846-5555",
            "fax_number": "623-846-5619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6524 W INDIAN SCHOOL RD #1287",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85033",
            "telephone_number": "623-846-5555",
            "fax_number": "623-846-5619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARSINI",
        "authorized_official_first_name": "HEDAYAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-996-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D5084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scottsdale Casvetri Dental Care Inc New Image Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jerry D Smilack, M.D.
• Smile 24 Dentistry, LLC
• Smile Creations, PLLC
• Smile Dental Group
• Smile Dental Studio
• Smile Dentistry PLLC (Foothills Family Dentistry)
• Smile for Life PLLC
• Smile Nuvo LLC

• 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 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.

Verify at the official NPI Registry.