Phoenix Childrens Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D008401 Issued in AZ

Legal business name

PHOENIX CHILDRENS DENTISTRY

Doing business as

Smile Explorers

Practice address

3575 W Deer Valley Rd
Ste 110
Glendale, AZ 85308-2002

Phone

(339) 237-0363

NPI assigned

Jul 7, 2016

Last updated

Jul 7, 2016By 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. Mukul Dave, D.M.DNPI 1437336799

Title

Dentist

Phone

(339) 237-0363

Specialties & licenses 1

Addresses

Other names 1

• Smile Explorers Doing business as

Locations

Practitioners 1

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.

• Mukul Y Dave, D.M.D

  • Pediatric Dentistry
  • Pittsburgh, PA
  • NPI 1437336799
  NPD (past) Authorized official

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

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467849600000",
    "number": "1508218132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3575 W DEER VALLEY RD",
            "address_2": "STE 110",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853082002",
            "telephone_number": "339-237-0363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3575 W DEER VALLEY RD",
            "address_2": "STE 110",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853082002",
            "telephone_number": "339-237-0363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX CHILDRENS DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-07",
        "last_updated": "2016-07-07",
        "status": "A",
        "authorized_official_last_name": "DAVE",
        "authorized_official_first_name": "MUKUL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "339-237-0363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AZ",
            "license": "D008401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Explorers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Phoenician Dental Group Inc (Associated Family Dentistry)
• Phoenician Family Medicine
• Phoenician Medical Center Inc (Phoenician Primary Care)
• Phoenix Children's Hospital, Inc.
• Phoenix Children's Medical Group
• Phoenix Diagnostic Imaging Inc
• Phoenix Diagnostic Imaging Inc
• Phoenix Face, PLLC
• Phoenix Heart Ambulatory Surgery and Electrophysiology, LLC (PHASE Surgery Center)
• Phoenix Heart, PLLC

• Pediatric Dentistry in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Pediatric Dentistry in Arizona

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