Surprise Smiles of Beauty PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SURPRISE SMILES OF BEAUTY PC

Practice address

15033 W Bell Rd
Suite 175
Surprise, AZ 85374

Phone

(623) 466-6322

Fax

(623) 466-6325

NPI assigned

Oct 11, 2006

Organization subpart

No

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

Authorized official

Name

Christine Pasciak

Title

Office Manager

Phone

(623) 466-6322

Specialties & licenses 1

Addresses

Other names 1

• Smiles of Beauty Other name

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801984208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15033 W BELL RD",
            "address_2": "SUITE 175",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "85374",
            "telephone_number": "623-466-6322",
            "fax_number": "623-466-6325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15033 W BELL RD",
            "address_2": "SUITE 175",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "85374",
            "telephone_number": "623-466-6322",
            "fax_number": "623-466-6325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURPRISE SMILES OF BEAUTY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PASCIAK",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "623-466-6322"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smiles of Beauty",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Surprise Pediatric Dentistry, PC
• Surprise Pediatrics
• Surprise Residential Assisted Living
• Surprise Smiles PLLC
• Surprise Speech Therapy
• Surprise Therapies, LLC
• Surprise Walk-in Care LLC
• Veronica Sutton

• General Practice Dentistry in Surprise, AZ
• Providers in Surprise, 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 22, 2020; 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.