Smile Innovations Corp

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SMILE INNOVATIONS CORP

Practice address

6323 S Rural Rd Ste 101
Tempe, AZ 85283-2933

Phone

(480) 820-7777

Fax

(480) 820-7774

NPI assigned

Apr 22, 2008

Last updated

Aug 12, 2024By 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. Boyd Patummas, D.M.DNPI 1194773226

Title

Dentist/Vice President

Phone

(480) 820-7777

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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.

• Boyd Patummas, DMD

  • General Practice Dentistry
  • Tempe, AZ
  • NPI 1194773226
  NPD (past) Authorized official
• Linda Thuy Ma, DMD

  • General Practice Dentistry
  • Tempe, AZ
  • NPI 1801844360
  NPD

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1629243571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6323 S RURAL RD STE 101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852832933",
            "telephone_number": "480-820-7777",
            "fax_number": "480-820-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6323 S RURAL RD STE 101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852832933",
            "telephone_number": "480-820-7777",
            "fax_number": "480-820-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE INNOVATIONS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "PATUMMAS",
        "authorized_official_first_name": "BOYD",
        "authorized_official_title_or_position": "DENTIST/VICE PRESIDENT",
        "authorized_official_telephone_number": "480-820-7777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trent Wisley Smallwood, D.D.S.
• Mariah Smethwick
• SMG Anesthesia Services PLLC
• Smi Imaging LLC (Simonmed Imaging)
• Smi Imaging LLC (Mobile Onsite Mammography)
• Kathy Smiley, LPN
• Smiling Spirits (Smiling Spirits Generations)
• Smiling Spirits LLC
• Sharon Suzette Smith-Wilborn, LMSW, LISAC
• Alex Jonathan Smith, OD

• General Practice Dentistry in Tempe, AZ
• Providers in Tempe, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.