Aesthetic Smiles Of Queen Creek

LBN: Aesthetic Smiles Of Queen Creek
Aesthetic Smiles Of Queen Creek is an health care organization with primary practice located at 22362 E. Domingo Rd. Suite 102 , Queen Creek AZ 85142. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Ambulatory Health Care Facilities / Dental. Ambulatory Health Care Facilities / Dental is the primary health care specialty. Aesthetic Smiles Of Queen Creek can be contacted via phone (480) 652-5797, or through Blyth, Cameron Weaver via phone (480) 652-5797.

Contact Information

Primary practice address
22362 E. Domingo Rd. Suite 102 Queen Creek AZ 85142
Phone: (480) 652-5797
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Blyth, Cameron Weaver Doctor of Dental Medicine (DMD)
Phone: (480) 652-5797

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1013793785
LBN Legal business name Aesthetic Smiles Of Queen Creek
DBA Doing business as
Authorized official Blyth, Cameron Weaver Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 7th, 2023
Last updated Sep 7th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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