NPIMap

Organization Active NPI

Smile 24 Dentistry, LLC

  • Dental Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1669016218
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SMILE 24 DENTISTRY, LLC
Practice address
2701 E Camelback Rd Ste 165
Phoenix, AZ 85016-4330
Phone
(602) 675-0896
Fax
(602) 825-1209
NPI assigned
Nov 6, 2019
Last updated
Nov 6, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

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

Authorized official

Name
Dr. Milen Vitanov, DMDNPI 1861851297
Title
Owner
Phone
(602) 675-0896

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2701 E Camelback Rd Ste 165
Phoenix, AZ 85016-4330

Mailing address

2701 E Camelback Rd Ste 165
Phoenix, AZ 85016-4330
Phone (602) 675-0896

National Provider Directory

National Provider Directory

Locations

2701 E Camelback Rd
Ste 165
Phoenix, AZ 85016
Phone (602) 675-0896

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572998400000",
    "number": "1669016218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 E CAMELBACK RD STE 165",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164330",
            "telephone_number": "602-675-0896",
            "fax_number": "602-825-1209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 E CAMELBACK RD STE 165",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164330",
            "telephone_number": "602-675-0896",
            "fax_number": "602-825-1209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE 24 DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-06",
        "last_updated": "2019-11-06",
        "status": "A",
        "authorized_official_last_name": "VITANOV",
        "authorized_official_first_name": "MILEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-675-0896",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; 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.