| Smiles Divine Dental Tmd Craniofacial Pain Center | |
|
6003 W Thunderbird Rd Ste 2 Glendale AZ 85306-4004 | |
| (602) 283-3545 | |
| (602) 283-3545 |
| Full Name | Smiles Divine Dental Tmd Craniofacial Pain Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6003 W Thunderbird Rd Ste 2, Glendale, Arizona |
| Authorized Official Name and Position | Neil Depante Tobias (SOLE MEMBER) |
| Authorized Official Contact | 6022833545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smiles Divine Dental Tmd Craniofacial Pain Center 6003 W Thunderbird Rd Ste 2 Glendale AZ 85306-4004 Ph: (602) 283-3545 | Smiles Divine Dental Tmd Craniofacial Pain Center 6003 W Thunderbird Rd Ste 2 Glendale AZ 85306-4004 Ph: (602) 283-3545 |
| NPI Number | 1295130292 |
|---|---|
| Provider Enumeration Date | 11/03/2014 |
| Last Update Date | 03/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295130292 | NPI | - | NPPES |
| 559809 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5366 (Arizona) | Primary |
Dobra Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 17235 N 75th Ave Ste C135, Glendale, AZ 85308 Phone: 503-989-8149 | |
Dentopro, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5940 W Union Hills Dr Ste F110, Glendale, AZ 85308 Phone: 602-863-7692 Fax: 602-863-7697 | |
Affiliated Oral & Maxillofacial Surgeons Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5750 W Thunderbird, H-850, Glendale, AZ 85306 Phone: 602-938-0880 Fax: 602-547-0528 | |
John J. Mehlem, Jr., Dmd, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 17250 N 43rd Ave, Suite #1, Glendale, AZ 85308 Phone: 602-938-7750 Fax: 602-938-0765 | |
Arrowhead Oral & Maxillofacial Surgery Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 18555 N 79th Ave, #a103, Glendale, AZ 85308 Phone: 623-412-0310 Fax: 623-412-2188 | |
Jennifer Fineberg Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6750 W Deer Valley Rd Ste C103, Glendale, AZ 85310 Phone: 623-362-2550 Fax: 623-362-2552 | |
Embrace Orthodontics, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 20100 N 51st Ave, Suite B230, Glendale, AZ 85308 Phone: 623-931-4386 |