Smile Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SMILE DENTAL GROUP

Practice address

6524 W Indian School Road
Suite a
Phoenix, AZ 85033

Phone

(623) 846-5555

Fax

(623) 846-5419

NPI assigned

Apr 19, 2007

Organization subpart

No

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

Authorized official

Name

Hedayat Harsini, DDS

Title

Owner

Phone

(623) 846-5555

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226880000000",
    "number": "1902023930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 SKYVIEW DRIVE",
            "city": "BELLEFONTE",
            "state": "PA",
            "postal_code": "16823",
            "telephone_number": "814-355-2945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6524 W INDIAN SCHOOL ROAD",
            "address_2": "SUITE A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85033",
            "telephone_number": "623-846-5555",
            "fax_number": "623-846-5419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2008-11-17",
        "status": "A",
        "authorized_official_last_name": "HARSINI",
        "authorized_official_first_name": "HEDAYAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-846-5555",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Smigiel
• Jerry D Smilack, M.D.
• Smile 24 Dentistry, LLC
• Smile Creations, PLLC
• Smile Dental Group
• Smile Dental Studio
• Smile Dentistry PLLC
• Smile for Life PLLC
• Smile Nuvo LLC
• Smile Phoenix PLLC

• General Practice Dentistry in Phoenix, AZ
• Providers in Phoenix, 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 Nov 17, 2008; 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.