Gilbert Dental Professionals

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GILBERT DENTAL PROFESSIONALS

Practice address

110 S Val Vista Dr
Suite B-7
Gilbert, AZ 85296-1373

Phone

(480) 892-0481

NPI assigned

Sep 14, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Youssef Salloum

Title

Owner

Phone

(480) 582-4411

Specialties & licenses 1

Addresses

Other names 1

• Smile Clinique Doing business as

Tax ID family

Gilbert Dental Professionals2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Smile Clinique Gilbert

  • Dental Clinic/Center
  • Gilbert, AZ
  • NPI 1528440401
  NPD tax ID

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442188800000",
    "number": "1861860488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S VAL VISTA DR",
            "address_2": "SUITE B-7",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852961373",
            "telephone_number": "480-892-0481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S VAL VISTA DR",
            "address_2": "SUITE B-7",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852961373",
            "telephone_number": "480-892-0481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILBERT DENTAL PROFESSIONALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-14",
        "last_updated": "2015-09-14",
        "status": "A",
        "authorized_official_last_name": "SALLOUM",
        "authorized_official_first_name": "YOUSSEF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-582-4411",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Clinique",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gilbert Chandler Psychiatrists Inc
• Gilbert Complete Medical Clinic LLC
• Gilbert Counselors, LLC
• Gilbert Crossroads Kids' Dentists and Orthodontics, LLP
• Gilbert Dental Center
• Gilbert Dental Smiles LLC
• Gilbert Emergency Medicine Specialists LLC
• Gilbert Facility Group, LLC
• Gilbert Family Birth Center, LLC
• Gilbert Family Chiropractic

• General Practice Dentistry in Gilbert, AZ
• Providers in Gilbert, 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 Sep 14, 2015; 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.