Aesthetic Dentistry of Scottsdale

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D5415 Issued in AZ

Legal business name

AESTHETIC DENTISTRY OF SCOTTSDALE

Practice address

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

Phone

(480) 513-2620

Fax

(480) 513-9308

NPI assigned

May 24, 2007

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. Clyde Edward Miller, DDSNPI 1003027830

Title

Owner

Phone

(480) 513-2620

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Clyde Edward Miller, DDS

  • General Practice Dentistry
  • Scottsdale, AZ
  • NPI 1003027830
  NPD (past) Authorized official
• Michael Thomas Kelly, D.M.D.

  • Dentist
  • Scottsdale, AZ
  • NPI 1407840580

  General Practice

  NPD (past)

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346451341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9598 E SOUTHWIND LN",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852623656",
            "telephone_number": "480-223-7675"
        },
        {
            "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",
            "fax_number": "480-513-9308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AESTHETIC DENTISTRY OF SCOTTSDALE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "CLYDE",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-513-2620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D5415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• General Practice Dentistry in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• General Practice Dentistry 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.