An Elegant Smile, P.C.

Organization Active NPI General Practice Dentistry · Tucson, AZ

NPI 1659503522 · NPPES record last updated Aug 11, 2009

Key facts

NPI
1659503522
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
7331 (AZ)
Legal business name
AN ELEGANT SMILE, P.C.
Practice address
6849 N Oracle Rd Ste 115
Tucson, AZ 85704-4242
Phone
(520) 696-0700
Fax
(520) 696-0705
NPI assigned
Aug 11, 2009
Organization subpart
Yes
Parent organization (as reported)
AN ELEGANT SMILE P.C.

Authorized official

Name
Monica Vitela
Title
Credentialing Coordinator
Phone
(602) 482-7000

Corporate family (same tax ID) 8

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 5

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

National Provider Directory

Tax ID family
An Elegant Smile PC (9 organizations share this tax ID)
Part of
An Elegant Smile PC

Locations

6849 N Oracle Rd
Ste 115
Tucson, AZ 85704
Phone (520) 696-0700

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X 7331 AZ Yes

Addresses

Primary practice location

6849 N Oracle Rd Ste 115
Tucson, AZ 85704-4242

Mailing address

6849 N Oracle Rd Ste 115
Tucson, AZ 85704-4242
Phone (520) 696-0700

Other names

  • An Elegant Smile Dentistry Doing business as

Other providers in Tucson, AZ

All providers in Tucson, AZ · General Practice Dentistry in Arizona

Sources for this page

Verify at the official NPI Registry.