Scottsdale Dental Smiles LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SCOTTSDALE DENTAL SMILES LLC

Practice address

8040 E Indian School Rd Ste 110
Scottsdale, AZ 85251-2685

Phone

(480) 994-9494

Fax

(480) 949-8395

NPI assigned

Oct 14, 2019

Organization subpart

No

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

Authorized official

Name

Faith Gaskins

Title

Director of Credentialing

Phone

(972) 869-3789

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571011200000",
    "number": "1972145654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8040 E INDIAN SCHOOL RD STE 110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852512685",
            "telephone_number": "480-994-9494",
            "fax_number": "480-949-8395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8040 E INDIAN SCHOOL RD STE 110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852512685",
            "telephone_number": "480-994-9494",
            "fax_number": "480-949-8395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTSDALE DENTAL SMILES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-14",
        "last_updated": "2019-10-14",
        "status": "A",
        "authorized_official_last_name": "GASKINS",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scottsdale Dental Center LLC
• Scottsdale Dental Concierge
• Scottsdale Dental Partners PLLC
• Scottsdale Dental PC
• Scottsdale Dental Rehabilitation CNTR LTD
• Scottsdale Dental Studio
• Scottsdale Dentistry LLC
• Scottsdale Dermatology and Cosmetic Surgery PLLC
• Scottsdale Dermatology, LTD
• Scottsdale Emergency Associates, LTD.

• General Practice Dentistry in Scottsdale, AZ
• Providers in Scottsdale, 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 Oct 14, 2019; 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.