Provider Demographics
NPI:1518237114
Name:SMILES OF AMERICA-ARROWHEAD PLLC
Entity Type:Organization
Organization Name:SMILES OF AMERICA-ARROWHEAD PLLC
Other - Org Name:SMILES OF AMERICA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPERATIONS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SIGITA
Authorized Official - Middle Name:
Authorized Official - Last Name:JANKUNAS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:623-843-8200
Mailing Address - Street 1:5940 W UNION HILLS DR
Mailing Address - Street 2:SUITE F-110
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-1308
Mailing Address - Country:US
Mailing Address - Phone:623-843-8200
Mailing Address - Fax:
Practice Address - Street 1:5940 W UNION HILLS DR
Practice Address - Street 2:SUITE F-110
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-1308
Practice Address - Country:US
Practice Address - Phone:623-843-8200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-12
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD76101223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty