# LITCHFIELD SMILES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285294140
- **Authorized official:** LAURA ANN VAUGHN (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (623) 935-5055

## Contact information

- **Practice address:** 4900 N LITCHFIELD ROAD BYP STE C1, LITCHFIELD PARK, AZ 85340-0966
- **Practice address phone:** (623) 935-5055
- **Mailing address:** 34225 N 27TH DR, BLDG 5 STE 241, PHOENIX, AZ 85085
- **Mailing address phone:** (623) 935-5055

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 06/13/2019
- **Last updated:** 06/13/2019