# LASTING SMILES OF ANTHEM LLC

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

## Provider details

- **NPI number:** 1851931828
- **Authorized official:** DR. DARREN L FLOWERS DMD (OWNER)
- **Authorized official phone:** (623) 551-8000

## Contact information

- **Practice address:** 3618 W ANTHEM WAY STE D132, ANTHEM, AZ 85086-0475
- **Practice address phone:** (623) 551-8000
- **Practice address fax:** (623) 465-4604
- **Mailing address:** 3618 W ANTHEM WAY STE D132, ANTHEM, AZ 85086-0475
- **Mailing address phone:** (623) 551-8000
- **Mailing address fax:** (623) 465-4604

## Taxonomy

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

## Other

- **Enumeration date:** 01/08/2020
- **Last updated:** 01/08/2020