| Smile Design Specialists | |
|
34597 N 60th St Ste 101 Scottsdale AZ 85266-5241 | |
| (480) 488-9655 | |
| (480) 575-1130 |
| Full Name | Smile Design Specialists |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 34597 N 60th St Ste 101, Scottsdale, Arizona |
| Authorized Official Name and Position | Shreedevi Thulasidas (OWNER) |
| Authorized Official Contact | 4808155223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Design Specialists 34597 N 60th St Ste 101 Scottsdale AZ 85266-5241 Ph: (480) 488-9655 | Smile Design Specialists 34597 N 60th St Ste 101 Scottsdale AZ 85266-5241 Ph: (480) 488-9655 |
| NPI Number | 1972930147 |
|---|---|
| Provider Enumeration Date | 10/03/2013 |
| Last Update Date | 02/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972930147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D07677 (Arizona) | Secondary |
| 1223G0001X | Dentist - General Practice | D07677 (Arizona) | Secondary |
| 1223P0700X | Dentist - Prosthodontics | D07677 (Arizona) | Primary |
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