Shamy Dental Inc

Primary specialty

DentistTaxonomy code 122300000X

License

D5167 Issued in AZ

Legal business name

SHAMY DENTAL INC

Practice address

4330 W Union Hills Dr
Suite B18
Glendale, AZ 85308-1643

Phone

(623) 582-6666

Fax

(623) 582-6665

NPI assigned

Apr 8, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Ghassa S Sroujieh, DDS

Title

Owner

Phone

(623) 582-6666

Specialties & licenses 1

Addresses

Other names 1

• A Gentle Smile Dental Center Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sahar Petros, DMD

  • Dentist
  • Glendale, AZ
  • NPI 1154710556
  NPD (past)
• Ghassan Sheikh Sroujieh, DDS

  • Dentist
  • Sun Lakes, AZ
  • NPI 1366519456
  NPD (past)

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

{
    "created_epoch": "1302220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302220800000",
    "number": "1982994158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 W UNION HILLS DR",
            "address_2": "SUITE B18",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081643",
            "telephone_number": "623-582-6666",
            "fax_number": "623-582-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 W UNION HILLS DR",
            "address_2": "SUITE B18",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081643",
            "telephone_number": "623-582-6666",
            "fax_number": "623-582-6665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAMY DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-08",
        "last_updated": "2011-04-08",
        "status": "A",
        "authorized_official_last_name": "SROUJIEH",
        "authorized_official_first_name": "GHASSA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-582-6666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D5167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Gentle Smile Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shalom Behavioral Health, LLC
• Shalom Enrichment Center LLC
• Shalom Heritage LLC- Peace Home
• Sofia Shalomov, PA-C
• Shamlock Nursing Services LLC
• Shannon M. Coen D.M.D, PC
• Kaitlyn Marie Shannon, RD, LDN
• Shapc LLC
• Cathy Sue Shapiro, F.N.P
• Shay Shapiro, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2011; 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.