Glendale Dental Smiles

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

GLENDALE DENTAL SMILES

Practice address

5310 W Thunderbird Rd Ste 111
Glendale, AZ 85306-4709

Phone

(623) 300-1149

NPI assigned

Oct 27, 2022

Last updated

Oct 27, 2022By 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

Tera Niedens

Title

Accountant

Phone

(623) 289-2616

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1578280764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34225 N 27TH DR STE 241",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850856091",
            "telephone_number": "623-289-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 W THUNDERBIRD RD STE 111",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064709",
            "telephone_number": "623-300-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENDALE DENTAL SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A",
        "authorized_official_last_name": "NIEDENS",
        "authorized_official_first_name": "TERA",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "623-289-2616"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Glendale",
            "affiliation": "N",
            "endpointDescription": "Glendale",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5310 W Thunderbird Rd Ste 111",
            "city": "Glendale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853064709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Glencroft Towers I, Inc.
• Glendale Chiropractic Life Center, LLC (Glendale Wellness Center)
• Glendale Dental and Orthodontics (Rodeo Dental and Orthodontics)
• Glendale Dental Associates LLC
• Glendale Dental Group, L.T.D.
• Glendale Elementary School District #40
• Glendale Family Dentistry, PLLC
• Glendale Gentle Dentistry
• Glendale Grove Senior Living, LLC
• Glendale Healthcare Assoc., LLC (Desert Sky Health and Rehabilitation)

• 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 Oct 27, 2022; 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.