# SMILE TODAY PEORIA, PLC

> 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
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982076824
- **Authorized official:** JOHN E BALLARD (CFO, CIO)
- **Authorized official phone:** (480) 889-9457

## Contact information

- **Practice address:** 13460 N 94TH DR, SUITE H-2, PEORIA, AZ 85381-4835
- **Practice address phone:** (602) 748-4717
- **Mailing address:** 4435 E HOLMES AVE, MESA, AZ 85206-3372
- **Mailing address phone:** (480) 889-9457
- **Mailing address fax:** (480) 696-5505

## Taxonomy

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

## Other

- **Enumeration date:** 10/29/2015
- **Last updated:** 10/29/2015