NPIMap

Organization Active NPI

Friendly Smiles Family Dentistry, PLLC

  • General Practice Dentistry
  • Glendale, AZ
National Provider Identifier
1619323086
Registry record updated May 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D008810 Issued in AZ
Legal business name
FRIENDLY SMILES FAMILY DENTISTRY, PLLC
Practice address
7510 W. Aspera Blvd.
Suite 105
Glendale, AZ 85308
Phone
(602) 432-4492
NPI assigned
May 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2016

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

Authorized official

Name
Tramy Truong, DMDNPI 1619309622
Title
DMD
Phone
(602) 432-4492

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D008810 AZ Primary

Addresses

Primary practice location

7510 W. Aspera Blvd.
Suite 105
Glendale, AZ 85308

Mailing address

7833 W Donald Dr
Peoria, AZ 85383-3140
Phone (602) 432-4492

National Provider Directory

National Provider Directory

Locations

7510 W Aspera Blvd
Ste 105
Glendale, AZ 85308
Phone (602) 432-4492

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462320000000",
    "number": "1619323086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7833 W DONALD DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853833140",
            "telephone_number": "602-432-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7510 W. ASPERA BLVD.",
            "address_2": "SUITE 105",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85308",
            "telephone_number": "602-432-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDLY SMILES FAMILY DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-04",
        "last_updated": "2016-05-04",
        "status": "A",
        "authorized_official_last_name": "TRUONG",
        "authorized_official_first_name": "TRAMY",
        "authorized_official_title_or_position": "DMD",
        "authorized_official_telephone_number": "602-432-4492",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D008810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.