Provider Demographics
NPI:1538314992
Name:CUTE SMILES 4 KIDS
Entity Type:Organization
Organization Name:CUTE SMILES 4 KIDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-861-3333
Mailing Address - Street 1:1819 W DUNLAP AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85021-4375
Mailing Address - Country:US
Mailing Address - Phone:602-861-3333
Mailing Address - Fax:602-861-3336
Practice Address - Street 1:1819 W DUNLAP AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85021-4375
Practice Address - Country:US
Practice Address - Phone:602-861-3333
Practice Address - Fax:602-861-3336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-25
Last Update Date:2010-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty