Arizona Smiles, P.C.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

ARIZONA SMILES, P.C.

Practice address

1400 N Gilbert Rd
Suite Z
Gilbert, AZ 85234-2328

Phone

(480) 892-5089

Fax

(480) 892-4236

NPI assigned

Apr 21, 2016

Last updated

Apr 21, 2016By 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

Dr. Samuel Walker Bollwinkel, D.D.S.

Title

President

Phone

(480) 892-5089

Specialties & licenses 2

Addresses

Tax ID family

Arizona Smiles PC2 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.

• Arizona Smiles P.C.

  • General Practice Dentistry
  • Gilbert, AZ
  • NPI 1922335652
  NPD tax ID

Locations

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461196800000",
    "number": "1902250368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N GILBERT ROAD",
            "address_2": "SUITE Z",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85234",
            "telephone_number": "480-892-5089",
            "fax_number": "480-892-4236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N GILBERT RD",
            "address_2": "SUITE Z",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342328",
            "telephone_number": "480-892-5089",
            "fax_number": "480-892-4236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA SMILES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-21",
        "last_updated": "2016-04-21",
        "status": "A",
        "authorized_official_last_name": "BOLLWINKEL",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "WALKER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-892-5089",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AZ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arizona Restorative Psychiatry
• Arizona Services for Developmental Therapy Inc
• Arizona Skin and Laser Therapy Institute, LTD
• Arizona Smiile Center PLLC
• Arizona Smiles P.C.
• Arizona Specialty Physicians
• Arizona Spine and Pain Specialists, LLC
• Arizona State Urological Institute LLC
• Arizona Sun Family Medicine P.C.
• Arizona Tender Care LLC

• Dentist in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; 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.