A Perfect Smile LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

A PERFECT SMILE LLC

Practice address

6200 S McClintock Dr Ste 111
Tempe, AZ 85283-3449

Phone

(602) 485-1588

NPI assigned

Nov 10, 2020

Organization subpart

No

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

Authorized official

Name

Marvin B Jackson, DDSNPI 1265624332

Title

Owner

Phone

(435) 637-2100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• A Perfect Smile LLC Doing business as

Locations

Practitioners 3

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

• Marvin Blane Jackson, DDS

  • Dentist
  • Tempe, AZ
  • NPI 1265624332
  NPD (past) Authorized official
• Thuy B Ngo, DMD

  • General Practice Dentistry
  • Phoenix, AZ
  • NPI 1003210881
  NPD (past)
• Shannon Daly Weir, DDS

  • General Practice Dentistry
  • Phoenix, AZ
  • NPI 1215624788
  NPD (past)

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759276800000",
    "number": "1760084255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 S MCCLINTOCK DR STE 111",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852833449",
            "telephone_number": "602-485-1588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 S MCCLINTOCK DR STE 111",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852833449",
            "telephone_number": "602-485-1588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A PERFECT SMILE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-10",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-637-2100",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "586868",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Perfect Smile LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Tempe, AZ
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; 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.