GLENDALE ORTHODONTICS
NPI 1104554179
Dentist - Orthodontics and Dentofacial Orthopedics in Glendale, AZ

Active since August 09, 2022
6120 W BELL RD STE 190, GLENDALE, AZ 85308(602) 485-4700 Get Directions Write a Review

NPPES record last updated: April 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 22, 2022, Aug 9, 2022 (2 updates tracked since 2022).

About Glendale Orthodontics NPPES

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

GLENDALE ORTHODONTICS (NPI 1104554179) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Glendale, Arizona and active in the NPI registry since August 2022. The organization lists Ashly Kristine Sunshine, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1104554179
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameSOH OF ARIZONA SPECIALTY LLC
Location Address6120 W BELL RD STE 190Glendale, AZ 85308-3786
Mailing Address1422 Elbridge Payne Rd Ste 240Chesterfield, MO 63017-8544 · (636) 362-4986
Organization SubpartNo
Authorized OfficialAshly Kristine SunshineCredentialing Specialist · (314) 413-2803
Enumeration DateAugust 9, 2022
Last NPPES UpdateApril 20, 20232 updates tracked since enumeration
NPPES CertifiedApril 20, 2023
NPI 1104554179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
6120 W BELL RD STE 190, Glendale, AZ 85308

Other Names 1

Doing Business AsGlendale Orthodontics

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 Soh Of Arizona Specialty LLC's NPI number?

The NPI number for Soh Of Arizona Specialty LLC is 1104554179. It was assigned to this organization in the NPPES registry on August 9, 2022. The provider is doing business as Glendale Orthodontics.

Where is Soh Of Arizona Specialty LLC located?

Soh Of Arizona Specialty LLC is located at 6120 W Bell Rd Ste 190, Glendale, AZ 85308. The listed phone number is (602) 485-4700.

What is Soh Of Arizona Specialty LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Soh Of Arizona Specialty LLC was last updated on April 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.