Active NPI
Az Smiles Pediatric Dentistry PLLC
- Dental Clinic/Center
- Tucson, AZ
National Provider Identifier
1326893397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- AZ SMILES PEDIATRIC DENTISTRY PLLC
- Practice address
- 4511 N Paseo Imuris
Tucson, AZ 85750-1710 - Phone
- (516) 424-8550
- NPI assigned
- Apr 22, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dennis Andreopoulos, DDS
- Title
- Dentist
- Phone
- (516) 424-8550
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
4511 N Paseo Imuris
Tucson, AZ 85750-1710
Mailing address
4511 N Paseo Imuris
Tucson, AZ 85750-1710
Phone (516) 424-8550
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713744000000",
"number": "1326893397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4511 N PASEO IMURIS",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857501710",
"telephone_number": "516-424-8550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4511 N PASEO IMURIS",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857501710",
"telephone_number": "516-424-8550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AZ SMILES PEDIATRIC DENTISTRY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-22",
"last_updated": "2024-04-22",
"certification_date": "2024-04-22",
"status": "A",
"authorized_official_last_name": "ANDREOPOULOS",
"authorized_official_first_name": "DENNIS",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "516-424-8550",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.