# ARIZONA DENTAL PROFESSIONALS, P.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ARIZONA DENTAL PROFESSIONALS, P.C.
- **Other names:** Smiles on Southern
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1780995159
- **Legal business name:** ARIZONA DENTAL PROFESSIONALS, P.C.
- **Authorized official:** CARMEN WOODS (INSURANCE COORDINATOR)
- **Authorized official phone:** (217) 540-5100

## Contact information

- **Practice address:** 5432 E SOUTHERN AVE STE 108, MESA, AZ 85206-2772
- **Practice address phone:** (480) 807-8100
- **Practice address fax:** (480) 325-8014
- **Mailing address:** 5432 E SOUTHERN AVE STE 108, MESA, AZ 85206-2772
- **Mailing address phone:** (480) 807-8100
- **Mailing address fax:** (480) 325-8014

## Taxonomy

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

## Other

- **Enumeration date:** 06/30/2010
- **Last updated:** 02/04/2014