AN ELEGANT SMILE P.C.
NPI 1255564506
Dentist - General Practice in Prescott, AZ

Active since September 02, 2009
980 WILLOW CREEK RD STE 103, PRESCOTT, AZ 86301(928) 445-1682(928) 445-2963 Get Directions Write a Review

NPPES record last updated: September 2, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About An Elegant Smile P.c. NPPES

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

AN ELEGANT SMILE P.C. (NPI 1255564506) is a healthcare organization registered as a general practice in Prescott, Arizona and active in the NPI registry since September 2009. The organization lists Monica Vitela, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1255564506
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameAN ELEGANT SMILE P.C.
Location Address980 WILLOW CREEK RD STE 103Prescott, AZ 86301-1619
Mailing Address980 Willow Creek Rd Ste 103Prescott, AZ 86301-1619 · (928) 445-1682 · Fax (928) 445-2963
Fax(928) 445-2963
Organization SubpartNo
Authorized OfficialMonica VitelaCredentialing Coordinator · (602) 482-7000
Enumeration DateSeptember 2, 2009
NPI 1255564506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in AZ · 5979
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.
980 WILLOW CREEK RD STE 103, Prescott, AZ 86301

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

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Dentist (General Practice)
980 WILLOW CREEK RD STE 103
PRESCOTT, AZ 86301
Dentist (General Practice)
980 WILLOW CREEK RD STE 103
PRESCOTT, AZ 86301

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 An Elegant Smile P.C.'s NPI number?

The NPI number for An Elegant Smile P.C. is 1255564506. It was assigned to this organization in the NPPES registry on September 2, 2009.

Where is An Elegant Smile P.C. located?

An Elegant Smile P.C. is located at 980 Willow Creek Rd Ste 103, Prescott, AZ 86301. The listed phone number is (928) 445-1682.

What is An Elegant Smile P.C.'s specialty?

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

What insurance does An Elegant Smile P.C. accept?

Health plans from Humana list An Elegant Smile P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for An Elegant Smile P.C. was last updated on September 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.