Smiles of Beauty PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SMILES OF BEAUTY PC

Practice address

42104 N Venture Dr
Suite B134
Anthem, AZ 85086

Phone

(623) 551-6300

Fax

(623) 551-6302

NPI assigned

Sep 22, 2006

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

Tina Ducas

Title

Office Manager

Phone

(623) 551-6300

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417057332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42104 N VENTURE DR",
            "address_2": "SUITE B134",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "85086",
            "telephone_number": "623-551-6300",
            "fax_number": "623-551-6302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42104 N VENTURE DR",
            "address_2": "SUITE B134",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "85086",
            "telephone_number": "623-551-6300",
            "fax_number": "623-551-6302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES OF BEAUTY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUCAS",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "623-551-6300"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra K. Siefken, LPC, LISAC
• Sydney Sjoberg
• Anna Katerina Slaven, DPT
• Smi Imaging LLC (Simonmed Imaging)
• Smi Imaging LLC (Simonmed Imaging)
• Christine Ann Smith
• Dana Smith
• Heather Iris Smith, MSN, FNP-C, CLT
• Smiths Food & Drug Centers Inc (Frys Food and Drug #78)
• Cassandra Soares

• General Practice Dentistry in Anthem, AZ
• Providers in Anthem, 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.