Mobile Smiles Inc

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

5035 Issued in AZ

Legal business name

MOBILE SMILES INC

Practice address

3419 N Geronimo Ave
Tucson, AZ 85705-3611

Phone

(520) 904-2211

NPI assigned

Jan 30, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Leslie L Kurtak, RDH

Title

President

Phone

(520) 904-2211

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305590400000",
    "number": "1417134560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3419 N GERONIMO AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857053611",
            "telephone_number": "520-904-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3419 N GERONIMO AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857053611",
            "telephone_number": "520-904-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE SMILES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-30",
        "last_updated": "2011-05-17",
        "status": "A",
        "authorized_official_last_name": "KURTAK",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-904-2211",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": "AZ",
            "license": "5035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Moates
• Kelli Moats
• Osama Omar Mobayed, DO
• Mobile Care Management
• Mobile Physicals
• Rachel Mobley, LMT
• Kristi Mobray, LAC
• Moc Tucson, LLC (Rapid Recovery From Mainstreet Health)
• Jomaa Mocch
• Casey Shaw Mock, CRNA

• Dental Hygienist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Dental Hygienist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; 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.