Aesthetic Dentistry of Scottsdale, PLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

AESTHETIC DENTISTRY OF SCOTTSDALE, PLC

Doing business as

Aesthetic Dentistry of Scottsdale

Practice address

9377 E Bell Rd Ste 301
Scottsdale, AZ 85260-1505

Phone

(480) 513-2620

NPI assigned

Aug 29, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Michael Kelly, DMDNPI 1407840580

Title

Owner

Phone

(480) 513-2620

Specialties & licenses 1

Addresses

Other names 1

• Aesthetic Dentistry of Scottsdale 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.

• Michael Thomas Kelly, D.M.D.

  • Dentist
  • Scottsdale, AZ
  • NPI 1407840580
  NPD Authorized official
• Clyde Edward Miller, DDS

  • General Practice Dentistry
  • Scottsdale, AZ
  • NPI 1003027830
  NPD (past)

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693267200000",
    "number": "1285419259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9377 E BELL RD STE 301",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601505",
            "telephone_number": "480-513-2620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9377 E BELL RD STE 301",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601505",
            "telephone_number": "480-513-2620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AESTHETIC DENTISTRY OF SCOTTSDALE, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-25",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-513-2620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aesthetic Dentistry of Scottsdale",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Advantage Health of Scottsdale
• Sumer S Aeed, EDD
• Aegis Health Sciences, PLLC
• Aero Jet Medical
• Aesthetic Dentistry of Scottsdale
• Affiliated Allergy & Pulmonary Specialists, PC
• Affiliated Dentists of Scottsdale, LTD.
• Affiliated Nutrition Consultants, LLC
• Affiliated Ophthalmologists of Scottsdale LTD
• Affiliated Orthopedic Specialists

• Dental Clinic/Center in Scottsdale, AZ
• Providers in Scottsdale, 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 Aug 29, 2023; 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.