Provider Demographics
NPI:1841628450
Name:EVERY SMILE
Entity type:Organization
Organization Name:EVERY SMILE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:RYAN
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:480-732-7874
Mailing Address - Street 1:2160 W CHANDLER BLVD
Mailing Address - Street 2:SUITE 20
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-6163
Mailing Address - Country:US
Mailing Address - Phone:480-732-7874
Mailing Address - Fax:480-732-1935
Practice Address - Street 1:2160 W CHANDLER BLVD
Practice Address - Street 2:SUITE 20
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-6163
Practice Address - Country:US
Practice Address - Phone:480-732-7874
Practice Address - Fax:480-732-1935
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-16
Last Update Date:2013-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ75701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty