AESTHETIC SMILES OF QUEEN CREEK – NPI #1013793785
Clinic/Center

AESTHETIC SMILES OF QUEEN CREEK is an AHC clinic located in QUEEN CREEK, AZ. NPPES has assigned the NPI number 1013793785 to AESTHETIC SMILES OF QUEEN CREEK on September 07, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AESTHETIC SMILES OF QUEEN CREEK below.

NPI Profile for
AESTHETIC SMILES OF QUEEN CREEK

NPI Number
1013793785
Enumeration Date

(about 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AESTHETIC SMILES OF QUEEN CREEK
Primary location
22362 E. DOMINGO RD. SUITE 102
QUEEN CREEK, AZ 85142
Phone: (480) 652-5797 Fax:
Mailing address
19106 E MARY ANN WAY
QUEEN CREEK, AZ 85142-9911
Phone: Fax:
Organization Subpart
No
Authorized Official
CAMERON BLYTH
DENTIST
Phone: (480) 652-5797
Updated
Certification Date
Sep 05, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)
1223G0001X
- Dentist / General Practice

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.