Organization Active NPI

Az Smiles Pediatric Dentistry PLLC

  • Dental Clinic/Center
  • Tucson, AZ
National Provider Identifier
1326893397
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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

Updated by the provider on Apr 22, 2024

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.