DR. MORLEY JOHN SMITH (NPI# 1235139429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235139429 |
| Entity Type | Individual |
| Full Name | DR. MORLEY JOHN SMITH |
| Credential | DMD, PC |
| Practice Address |
6755 E Superstition Springs Blvd Suite 102 Mesa AZ 85206-4373 |
| Mailing Address |
1912 E Bruce Ave Gilbert AZ 85234-6100 |
| Practice Telephone | 4802187590 |
| Practice Fax Number | 4802182247 |
| Mailing Telephone | 4808922442 |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2007-07-08 |
| NPI Deactivation Date | 03/22/2006 |
| NPI Reactivation Date | 2006-04-11 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
2619 | AZ | Dental Providers |
| Street Address |
6755 E SUPERSTITION SPRINGS BLVD SUITE 102 |
| City | MESA |
| State | AZ |
| Zip Code | 85206-4373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891795282 | Paul Wadley Haycock | Dentist | 6755 E Superstition Springs Blvd, Suite 102, Mesa, AZ 85206-4373 | 2005-07-28 |
| 1063649192 | East Valley Periodontics | Dentist | 6755 E Superstition Springs Blvd, Ste. 102, Mesa, AZ 85206-4373 | 2009-06-16 |
| 1821242082 | Morley J. Smith, Dmd, PC | Dentist | 6755 E Superstition Springs Blvd, Suite 102, Mesa, AZ 85206-4373 | 2008-11-13 |
| 1841491255 | Treven B Rollins | Dentist | 6755 E Superstition Springs Blvd, Ste 0201, Mesa, AZ 85206 | 2007-05-31 |
| 1245447499 | Arlon M Petersen | Dentist | 6755 E Superstition Springs Blvd, Ste 201, Mesa, AZ 85206 | 2007-05-17 |
| 1063637197 | Rollins & Petersen Orthodontics Plc | Dentist | 6755 E Superstition Springs Blvd, Ste 201, Mesa, AZ 85206 | 2007-04-16 |
| 1558584045 | Mark S. Hamblin | Dentist | 6755 E Superstition Springs Blvd, Suite #202, Mesa, AZ 85206-4373 | 2007-04-11 |
| 1144342155 | Mark S. Hamblin, D.d.s., P.C. | Dentist | 6755 E Superstition Springs Blvd, Suite #202, Mesa, AZ 85206-4373 | 2007-04-03 |
| 1558493460 | Dickerson Enterprises, Incorporated | Dentist | 6755 E Superstition Springs Blvd, Suite 203, Mesa, AZ 85206-4373 | 2007-03-09 |
| 1366531402 | Derrick J Dickerson | Dentist | 6755 E Superstition Springs Blvd, 203, Mesa, AZ 85206 | 2006-10-12 |
| 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 | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376019075 | East Valley Implant & Periodontal Center | Dentist | 3048 E Baseline Rd Ste 112, Mesa, AZ 85204-7287 | 2018-10-19 |
| 1518232701 | Niels Jensen | Dentist | 6755 E Superstition Springs Blvd Ste 102, Mesa, AZ 85206-4375 | 2012-03-20 |
| 1609166644 | Nicholas D Allan | Dentist | 2831 E Southern Ave, #215, Mesa, AZ 85204-5500 | 2011-04-11 |
| 1891795282 | Paul Wadley Haycock | Dentist | 6755 E Superstition Springs Blvd, Suite 102, Mesa, AZ 85206-4373 | 2005-07-28 |
| 1457900656 | East Valley Implant and Periodontal Pllc | Dentist | 3048 E Baseline Rd Ste 112, Mesa, AZ 85204-7287 | 2019-09-10 |
| 1568980001 | Aaron Clark Nelson | Dentist | 6755 E Superstition Springs Blvd Ste 102, Mesa, AZ 85206-4375 | 2017-09-05 |
| 1811288384 | Satish S. Kumar | Dentist | 5855 E Still Cir, Mesa, AZ 85206 | 2011-05-02 |
| 1871805291 | Joseph Wayne Capps | Dentist | 4996 S Power Rd, Mesa, AZ 85212-3602 | 2010-07-14 |
| 1063649192 | East Valley Periodontics | Dentist | 6755 E Superstition Springs Blvd, Ste. 102, Mesa, AZ 85206-4373 | 2009-06-16 |
| 1629223367 | Christine Ann Halket | Dentist | 5855 E Still Cir, Mesa, AZ 85206-3631 | 2008-11-21 |
| 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.