Radiant Smile Dentistry PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

7349 Issued in AZ

Legal business name

RADIANT SMILE DENTISTRY PLLC

Doing business as

Radiant Smiles Phoenix

Practice address

380 E Virginia Ave
Phoenix, AZ 85004-1208

Phone

(602) 277-2222

Fax

(602) 279-3742

NPI assigned

Aug 15, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Prabhsharan Sandhu, D.D.S.NPI 1205025368

Title

Owner/Dentist

Phone

(602) 277-2222

Specialties & licenses 1

Addresses

Other names 1

• Radiant Smiles Phoenix Doing business as

Practitioners 2

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

• Prabhsharan Sandhu

  • General Practice Dentistry
  • Tempe, AZ
  • NPI 1205025368
  NPD (past) Authorized official
• Jagandeep Singh Bajwa, D.M.D.

  • General Practice Dentistry
  • Chandler, AZ
  • NPI 1518216415
  NPD (past)

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471219200000",
    "number": "1316491772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 E VIRGINIA AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041208",
            "telephone_number": "602-277-2222",
            "fax_number": "602-279-3742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 E VIRGINIA AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041208",
            "telephone_number": "602-277-2222",
            "fax_number": "602-279-3742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT SMILE DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-15",
        "last_updated": "2016-08-15",
        "status": "A",
        "authorized_official_last_name": "SANDHU",
        "authorized_official_first_name": "PRABHSHARAN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "602-277-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "7349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radiant Smiles Phoenix",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristine Lynette Rader, RN
• Meghan Marie Rader, CRNA
• Peggy J Radford, M.D.
• Priya Radhakrishnan, M.D.
• Radiant Hills Health Associates LLC (North Mountain Medical and Rehabilitation Center)
• Radiation Oncologists of Central Arizona
• Mary Nada Radic, M.S.
• Radiology Consultants PLLC
• Radiology Consultants PLLC
• Radiology Professional Management 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 15, 2016; 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.