San Tan Smiles Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2527 Issued in AZ

Legal business name

SAN TAN SMILES FAMILY DENTISTRY

Practice address

1355 S Higley Rd
Suite 114
Higley, AZ 85236-4705

Phone

(480) 457-8818

Fax

(480) 457-8785

NPI assigned

Feb 27, 2007

Last updated

Aug 22, 2020By 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

Ms. Mary Lou Jones

Title

Office Manager

Phone

(480) 457-8818

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851428254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 S HIGLEY RD",
            "address_2": "SUITE 114",
            "city": "HIGLEY",
            "state": "AZ",
            "postal_code": "852364705",
            "telephone_number": "480-457-8818",
            "fax_number": "480-457-8785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 S HIGLEY RD",
            "address_2": "SUITE 114",
            "city": "HIGLEY",
            "state": "AZ",
            "postal_code": "852364705",
            "telephone_number": "480-457-8818",
            "fax_number": "480-457-8785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN TAN SMILES FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "MARY LOU",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "480-457-8818",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "2527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Rae Martin, MSW
• Kathleen Petkovsky, PT/CHT
• Pivonka Chiropractic, P.C.
• Anthony James Pivonka, D.C.
• Patricia Lynn Pivonka, D.C.
• Susan D Scarla, MD
• Felicia Kelly Slaney, OT
• Dorothy Lee Stewart, RN
• Lora May Totzauer-Smith, LVN
• Kelly Ward

• General Practice Dentistry in Higley, AZ
• Providers in Higley, 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.