AN ELEGANT SMILE P.C. (NPI# 1053631309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053631309 |
| Entity Type | Organization |
| Organization Name | AN ELEGANT SMILE P.C. |
| Other Organization Name | AN ELEGANT SMILE DENTISTRY |
| Practice Address |
1425 S Greenfield Rd Bldg 2 Ste 110 Mesa AZ 85206-5529 |
| Practice Telephone | 4808543434 |
| Practice Fax Number | 4808542640 |
| Mailing Telephone | 4808543434 |
| Mailing Fax Number | 4808542640 |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2010-06-09 |
| Authorized Official Name | MONICA VITELA (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 6024827000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers | ||
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| An Elegant Smile Dentistry | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760797146 | An Elegant Smile P.C. | Dentist | 14155 N 83rd Ave Bldg 3, Peoria, AZ 85381-5639 | 2010-08-10 |
| 1538488804 | An Elegant Smile P.C. | Dentist | 5977 E Grant Rd, Ste 115, Tucson, AZ 85712-2341 | 2010-05-25 |
| 1609100700 | An Elegant Smile P.C. | Dentist | 3336 E Chandler Heights Rd Bldg 1, Gilbert, AZ 85298-4259 | 2009-09-23 |
| 1255564506 | An Elegant Smile P.C. | Dentist | 980 Willow Creek Rd Ste 103, Prescott, AZ 86301-1619 | 2009-09-02 |
| 1285873125 | An Elegant Smile P.C. | Dentist | 4550 E Bell Rd Ste 8-178, Phoenix, AZ 85032-9306 | 2009-02-17 |
| 1285955088 | An Elegant Smile P.C. | Dentist | 1360 W Irvington Rd Ste 180, Tucson, AZ 85746-4110 | 2010-06-15 |
| Street Address |
1425 S GREENFIELD RD BLDG 2 STE 110 |
| City | MESA |
| State | AZ |
| Zip Code | 85206-5529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568426518 | Center for Oupatient Imaging, L.L.C. | Clinic/Center | 1425 S Greenfield Rd, Suite 102, Mesa, AZ 85206-5505 | 2006-04-14 |
| 1669921524 | Corey Wayne Deberry-seguine | Physician Assistant | 1425 S Greenfield Rd, Suite #101, Mesa, AZ 85206-5529 | 2016-10-03 |
| 1265803092 | Daniel Ballard | Physician Assistant | 1425 S Greenfield Rd, Mesa, AZ 85206-5529 | 2015-10-20 |
| 1891109682 | Emily Hall | Dentist | 1425 S Greenfield Rd, Bldg 2, Ste 110, Mesa, AZ 85206-5529 | 2014-06-19 |
| 1609105204 | Jonathan Natividad Jarvina | Internal Medicine | 1425 S Greenfield Rd, #101, Mesa, AZ 85206-5529 | 2009-12-10 |
| 1184630758 | Idenise Cabanas | Physician Assistant | 1425 S Greenfield Rd, 101, Mesa, AZ 85206-5529 | 2006-08-01 |
| 1538183413 | Dalenor R. Halls | Physician Assistant | 1425 S Greenfield Rd, 101, Mesa, AZ 85206-5529 | 2006-07-26 |
| 1972538569 | Robert J Allen | Family Medicine | 1425 S Greenfield Rd, 101, Mesa, AZ 85206-5529 | 2006-07-11 |
| 1215960638 | Deseret Family Practice, Ltd. | Chiropractor | 1425 S Greenfield Rd, 101, Mesa, AZ 85206-5529 | 2006-07-09 |
| 1194758524 | David J Farnsworth | Chiropractor | 1425 S Greenfield Rd, 101, Mesa, AZ 85206-5529 | 2006-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
| 1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
| 1023651288 | Jason Mcclure | Hearing Instrument Specialist | 5540 E Broadway Rd., Mesa, AZ 85206 | 2019-10-21 |
| 1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
| 1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
| 1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
| 1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
| 1033605159 | Rebecca Ann Maro | Nurse Practitioner | 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 | 2018-07-02 |
| 1982195624 | Spark Performance and Physiotherapy | Clinic/Center | 6056 East Basline Road, Suite 147, Mesa, AZ 85206 | 2018-05-29 |
| 1336645993 | Ashley Wright | Audiologist-Hearing Aid Fitter | 1423 S Higley Rd Ste 119, Mesa, AZ 85206 | 2018-04-03 |
| Find all providers in zip 85206 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475060 | Happy Molar Dental LLC | Dentist | 67 N Dobson Rd Ste A-104, Mesa, AZ 85201-6822 | 2020-10-18 |
| 1215553565 | Andrew Eugene Pak | Dentist | 10664 East Point Twenty-two Blvd, Mesa, AZ 85212 | 2020-06-23 |
| 1801438585 | Rauch Dental Associates LLC | Dentist | 2820 E University Dr Ste 108, Mesa, AZ 85213-8505 | 2019-10-14 |
| 1316591407 | George M Magnus | Dentist | 921 S Val Vista Dr Unit 98, Mesa, AZ 85204-5615 | 2019-07-28 |
| 1124672548 | R Keith Farr Dds LLC | Dentist | 4540 E Baseline Rd Ste 111, Mesa, AZ 85206-4616 | 2019-07-25 |
| 1578116679 | Arizona Dental Professionals, P.C. | Dentist | 10749 E Southern Ave, Mesa, AZ 85209-3885 | 2019-07-18 |
| 1629621982 | My Dentist Enterprises, Inc. | Dentist | 2045 S Vineyard Ste 153, Mesa, AZ 85210-6892 | 2019-07-16 |
| 1932761947 | Tyler John Bingham | Dentist | 2537 N Maple, Mesa, AZ 85215-1723 | 2019-07-01 |
| 1598228132 | Joe J Panelli | Dentist | 2824 N Power Rd Ste 108, Mesa, AZ 85215-1673 | 2019-04-10 |
| 1194291997 | Arizona Discount Dentistry Pllc | Dentist | 2500 S Power Rd Ste 127, Mesa, AZ 85209-6689 | 2018-10-18 |
| Find all providers in MESA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.