A Glowing Smile Dental Care

LBN: Marley Park Dental Llc
A Glowing Smile Dental Care is an health care organization with primary practice located at 8466 W Peoria Ave Ste 12, Peoria AZ 85345-6548. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Marley Park Dental Llc can be contacted via phone (623) 486-5566, or through Maruska, Erin via phone (623) 486-5566.

Contact Information

Primary practice address
8466 W Peoria Ave Ste 12 Peoria AZ 85345-6548
Phone: (623) 486-5566
Fax: (623) 878-2871
Website:
Map and Directions
Authorized official contact:
Name: Maruska, Erin Doctor of Dental Medicine (DMD)
Phone: (623) 486-5566

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X Arizona

Profile Details

NPI number 1417121039
LBN Legal business name Marley Park Dental Llc
DBA Doing business as A Glowing Smile Dental Care
Authorized official Maruska, Erin Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 15th, 2008
Last updated Jul 21st, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417121039 NPPES
Arizona Other 11565556 CAQH

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