# SMILE TRANSFORMATION CENTRE LLC

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

## Provider details

- **NPI number:** 1609636034
- **Authorized official:** RODNEY CLARK TILLEY (OWNER/GM)
- **Authorized official phone:** (602) 695-4192

## Contact information

- **Practice address:** 9980 W GLENDALE AVE, GLENDALE, AZ 85307-3005
- **Practice address phone:** (623) 877-9501
- **Mailing address:** 16627 S LINDSAY RD, GILBERT, AZ 85295-1501
- **Mailing address phone:** (602) 695-4192

## Taxonomy

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

## Other

- **Enumeration date:** 03/21/2024
- **Last updated:** 03/21/2024