# SMILE DENTAL GROUP

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

## Provider details

- **NPI number:** 1902023930
- **Authorized official:** HEDAYAT HARSINI DDS (OWNER)
- **Authorized official phone:** (623) 846-5555

## Contact information

- **Practice address:** 6524 W INDIAN SCHOOL ROAD, SUITE A, PHOENIX, AZ 85033
- **Practice address phone:** (623) 846-5555
- **Practice address fax:** (623) 846-5419
- **Mailing address:** 122 SKYVIEW DRIVE, BELLEFONTE, PA 16823
- **Mailing address phone:** (814) 355-2945

## Taxonomy

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

## Other

- **Enumeration date:** 04/19/2007
- **Last updated:** 11/17/2008