Scottsdale Prosthodontics and Family Dentistry

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

D07677 Issued in AZ

Legal business name

SCOTTSDALE PROSTHODONTICS AND FAMILY DENTISTRY

Practice address

34597 N 60TH St Ste 101
Scottsdale, AZ 85266-5241

Phone

(480) 488-9655

Fax

(480) 575-1130

NPI assigned

Oct 3, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Shreedevi Thulasidas, DDS,MS

Title

Owner

Phone

(480) 815-5223

Specialties & licenses 3

Addresses

Other names 1

• Smile Design Specialists Doing business as

Locations

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

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454544000000",
    "number": "1972930147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34597 N 60TH ST STE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852665241",
            "telephone_number": "480-488-9655",
            "fax_number": "480-575-1130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34597 N 60TH ST STE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852665241",
            "telephone_number": "480-488-9655",
            "fax_number": "480-575-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTSDALE PROSTHODONTICS AND FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-03",
        "last_updated": "2016-02-04",
        "status": "A",
        "authorized_official_last_name": "THULASIDAS",
        "authorized_official_first_name": "SHREEDEVI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-815-5223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS,MS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D07677",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D07677",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "AZ",
            "license": "D07677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Design Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Scottsdale Primary Care, PC
• Scottsdale Professional Pharmacy LTD
• Scottsdale Prosthodontists II, PLLC
• Scottsdale Prosthodontists PC
• Scottsdale Providence Recovery Center
• Scottsdale Providence Recovery Center
• Scottsdale Psychotherapy Inc

• Prosthodontics in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Prosthodontics in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.