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AESTHETIC SMILES OF QUEEN CREEK
NPI 1013793785
Clinic/Center - Dental in Queen Creek, AZ

Active since September 07, 2023
22362 E. DOMINGO RD. SUITE 102, QUEEN CREEK, AZ 85142(480) 652-5797 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Aesthetic Smiles Of Queen Creek NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AESTHETIC SMILES OF QUEEN CREEK (NPI 1013793785) is a healthcare organization registered as a dental in Queen Creek, Arizona and active in the NPI registry since September 2023. The organization lists Cameron Weaver Blyth, Dentist, as its authorized official.

NPPES Registry Identity

NPI1013793785
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameAESTHETIC SMILES OF QUEEN CREEK
Location Address22362 E. DOMINGO RD. SUITE 102Queen Creek, AZ 85142
Mailing Address19106 E Mary Ann WayQueen Creek, AZ 85142-9911
Phone(480) 652-5797
Organization SubpartNo
Authorized OfficialCameron Weaver BlythDentist · (480) 652-5797
Enumeration DateSeptember 7, 2023
NPPES CertifiedSeptember 5, 2023
✔ NPI 1013793785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
Also ListedDentist · General PracticeTaxonomy 1223G0001X
22362 E. DOMINGO RD. SUITE 102, Queen Creek, AZ 85142
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Aesthetic Smiles Of Queen Creek's NPI number?

The NPI number for Aesthetic Smiles Of Queen Creek is 1013793785. It was assigned to this organization in the NPPES registry on September 7, 2023.

Where is Aesthetic Smiles Of Queen Creek located?

Aesthetic Smiles Of Queen Creek is located at 22362 E. Domingo Rd. Suite 102, Queen Creek, AZ 85142. The listed phone number is (480) 652-5797.

What is Aesthetic Smiles Of Queen Creek's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Aesthetic Smiles Of Queen Creek was last updated on September 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.