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Contact Information

LITTLE SMILES OF SURPRISE
13915 N DYSART RD
STE A1
EL MIRAGE, AZ85335
 Phone: 623-444-6340
 Fax: 623-444-6350
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for LITTLE SMILES OF SURPRISE

NPI # 1134181332
LBN Legal business name LITTLE SMILES OF SURPRISE
Authorized official LAURET SCHREIER - (DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 04/04/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
AZ License # D5287
AZ Medicaid 611922
Other 000870541001 UNITED CONCORDIA
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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