# I SMILE CMS

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

## Provider details

- **NPI number:** 1619377512
- **Authorized official:** DR. JEFF RYAN SPILLERS D.D.S (PARTNER)
- **Authorized official phone:** (520) 889-3358

## Contact information

- **Practice address:** 4600 S PARK AVE STE 6, TUCSON, AZ 85714-1697
- **Practice address phone:** (520) 889-3358
- **Practice address fax:** (520) 889-3350
- **Mailing address:** 4600 S PARK AVE STE 6, TUCSON, AZ 85714-1697
- **Mailing address phone:** (520) 889-3358
- **Mailing address fax:** (520) 889-3350

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D008640 | AZ | Yes |

## Other

- **Enumeration date:** 08/27/2014
- **Last updated:** 08/27/2014