BRILLIANT SMILES DENTISTRY PLLC NPI 1215636501

NPI Information

NPI: 1215636501
Provider Name: BRILLIANT SMILES DENTISTRY, PLLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
5425 E BELL RD STE 143
SCOTTSDALE, AZ
ZIP 85254
Phone: (602) 953-1850
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BRILLIANT SMILES DENTISTRY, PLLC is a multi-specialty clinic center in Scottsdale, AZ. BRILLIANT SMILES DENTISTRY, PLLC NPI is 1215636501. The provider is registered as an organization entity type.

The provider's business location address is:

5425 E BELL RD STE 143
SCOTTSDALE, AZ
ZIP 85254-010
Phone: (602) 953-1850

The provider's authorized official is Terry Peterson .
The authorized official title is Owner and has the following contact phone number (801) 471-8141.

The enumeration date for this NPI number is 2/27/2023 and was last updated on 8/29/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental			No
2	261QM1300X	Clinic/Center	Multi-Specialty			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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