# TEMPE SMILES FAMILY DENTAL, PC

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

## Provider details

- **NPI number:** 1295098689
- **Authorized official:** TRACEY DALTON (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (623) 640-0267

## Contact information

- **Practice address:** 7660 S MCCLINTOCK DR, SUITE \#101, TEMPE, AZ 85284-1621
- **Practice address phone:** (480) 831-8022
- **Practice address fax:** (480) 831-8023
- **Mailing address:** 7660 S MCCLINTOCK DR STE 101, TEMPE, AZ 85284-1642
- **Mailing address phone:** (623) 640-0267
- **Mailing address fax:** (602) 344-9713

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | — |
| 122300000X | Dentist | — | — | — |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 06/20/2012
- **Last updated:** 06/22/2021