GREAT SMILES – NPI #1922594522
Clinic/Center

GREAT SMILES is an AHC clinic located in SURPRISE, AZ. NPPES has assigned the NPI number 1922594522 to GREAT SMILES on July 06, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GREAT SMILES” is a dba name, the actual legal business name for this organization is EBW DMD PLLC. 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 GREAT SMILES below.

NPI Profile for
EBW DMD PLLC

NPI Number
1922594522
Enumeration Date

(about 8 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
EBW DMD PLLC
Doing Business As (dba): GREAT SMILES
Primary location
14800 W MOUNTAIN VIEW BLVD STE 200
SURPRISE, AZ 85374-2703
Phone: (623) 933-5749 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ERIC WENDELSCHAFER
DENTIST
Phone: (480) 606-2630
Updated
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)		 AZ 8491

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.