Familt& Esthetic Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

8667 Issued in AZ

Legal business name

FAMILT& ESTHETIC DENTISTRY

Practice address

6666 W Peoria Ave
Glendale, AZ 85302-7014

Phone

(623) 878-6000

Fax

(623) 773-2230

NPI assigned

Jan 7, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Neda Delavari, DDS

Title

General Dentist

Phone

(623) 878-6000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lifetime smiles Doing business as

Locations

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

{
    "created_epoch": "1452124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452124800000",
    "number": "1427414341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6666 W PEORIA AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853027014",
            "telephone_number": "623-878-6000",
            "fax_number": "623-773-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6666 W PEORIA AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853027014",
            "telephone_number": "623-878-6000",
            "fax_number": "623-773-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILT& ESTHETIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-07",
        "last_updated": "2016-01-07",
        "status": "A",
        "authorized_official_last_name": "DELAVARI",
        "authorized_official_first_name": "NEDA",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "623-878-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AZ",
            "license": "8667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "8667",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifetime smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel Fairman, PA-C
• Zoey Fait
• Faithland Recovery Center LLC
• Jacob Aaron G Fajardo, RBT
• Chrstopher Falkiewicz
• Family Care Assisted Living LLC
• Family Care Connections LLC
• Family Eyecare Associates of Az PLC
• Family Eyecare Associates of Az PLC
• Family Eyecare of Glendale PLC

• Dental Clinic/Center in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; 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.