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MODERN SMILES PLLC
NPI 1164292256
Dentist - General Practice in Phoenix, AZ

Active since January 08, 2024
2933 W CACTUS RD, PHOENIX, AZ 85029(602) 863-9079 Get Directions Write a Review

NPPES record last updated: January 8, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Modern Smiles Pllc NPPES

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

MODERN SMILES PLLC (NPI 1164292256), doing business as Modern Smiles, is a healthcare organization registered as a general practice in Phoenix, Arizona and active in the NPI registry since January 2024. The organization lists Chad Hendricks, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1164292256
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMODERN SMILES PLLC
Location Address2933 W CACTUS RDPhoenix, AZ 85029-2346
Mailing Address2933 W Cactus RdPhoenix, AZ 85029-2346 · (602) 863-9079
Phone(602) 863-9079
Organization SubpartNo
Authorized OfficialChad HendricksCredentialing · (612) 859-0444
Enumeration DateJanuary 8, 2024
NPPES CertifiedJanuary 8, 2024
✔ NPI 1164292256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2933 W CACTUS RD, Phoenix, AZ 85029
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Other Names 1

Doing Business AsModern Smiles

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERNEST N. JOHNSON, DDS, PC
Special Hospital
2933 W CACTUS RD
PHOENIX, AZ 85029
Maricopa County (602) 863-9079
ERNEST N. JOHNSON, DDS, PC
Clinic/Center (Dental)
2933 W CACTUS RD
PHOENIX, AZ 85029
Maricopa County (602) 863-9079
DR. ERNEST NELMS JOHNSON DDS
Dentist (General Practice)
2933 W CACTUS RD
PHOENIX, AZ 85029
Maricopa County (602) 863-9079

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 Modern Smiles PLLC's NPI number?

The NPI number for Modern Smiles PLLC is 1164292256. It was assigned to this organization in the NPPES registry on January 8, 2024. The provider is doing business as Modern Smiles.

Where is Modern Smiles PLLC located?

Modern Smiles PLLC is located at 2933 W Cactus Rd, Phoenix, AZ 85029. The listed phone number is (602) 863-9079.

What is Modern Smiles PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Modern Smiles PLLC was last updated on January 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.