# HEARTLAND DETNAL CARE OF ARIZONA. PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HEARTLAND DENTAL CARE OF ARIONA, PC
- **Other names:** Smiles on Ocotillo
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1306158365
- **Legal business name:** HEARTLAND DENTAL CARE OF ARIONA, PC
- **Authorized official:** KAM SHICK (INSURANCE COORDINATOR)
- **Authorized official phone:** (217) 540-5141

## Contact information

- **Practice address:** 21321 E OCOTILLO RD STE 133, QUEEN CREEK, AZ 85142-5995
- **Practice address phone:** (217) 540-5141
- **Mailing address:** 21321 E. OCOTILLO ROAD, SUITE 133, QUEEN CREEK, AZ 85242-5995
- **Mailing address phone:** (217) 540-5141

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D5769 | AR | Yes |

## Other

- **Enumeration date:** 07/07/2010
- **Last updated:** 07/07/2010