DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CUSTOM SMILE LLC

Active Organization

CUSTOM SMILE LLC is a Dentist organization located in MESA, Arizona. NPI 1710148663 is currently active in the NPPES registry. Verify at CMS.

Dentist · MESA, AZ

Registration Details

NPI Number
1710148663
Provider Type
Organization
NPI Issued
Jun 23, 2008 (18.13931338258 yrs)
Last Updated
Jul 8, 2008
License
4675 (AZ)

Practice Information

Address
2919 S ELLSWORTH RD
SUITE 141
MESA, AZ, 852122164
Browse AZ providers · Browse ZIP 85212
Phone
4803078430
Fax
4803078431
Primary Specialty
Dentist
122300000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.