Organization
SMILES DIVINE DENTAL TMD CRANIOFACIAL PAIN CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NEIL DEPANTE TOBIAS (SOLE MEMBER)
(602) 283-3545
Entity
Organization
Contact information
Practice address
6003 W THUNDERBIRD RD STE 2, GLENDALE, AZ 85306-4004
(602) 283-3545
(602) 283-3545
Mailing address
6003 W THUNDERBIRD RD STE 2, GLENDALE, AZ 85306-4004
(602) 283-3545
(602) 283-3545
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5366
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
559809
—
AZ
Enumeration date
11/03/2014
Last updated
03/30/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us