Provider Demographics
NPI:1275961971
Name:CAREFREE SMILE LLC
Entity Type:Organization
Organization Name:CAREFREE SMILE LLC
Other - Org Name:CAREFREE SMILE COSMETIC AND RESTORATIVE DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:A
Authorized Official - Last Name:FINOCCHIARO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:480-488-7010
Mailing Address - Street 1:34597 N 60TH ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85266-5240
Mailing Address - Country:US
Mailing Address - Phone:480-488-7010
Mailing Address - Fax:480-488-7008
Practice Address - Street 1:34597 N 60TH ST
Practice Address - Street 2:SUITE 103
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85266-5240
Practice Address - Country:US
Practice Address - Phone:480-488-7010
Practice Address - Fax:480-488-7008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-16
Last Update Date:2013-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3038332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies