SMILES DIVINE DENTAL TMD CRANIOFACIAL PAIN CENTER
NPI 1295130292
Dentist - General Practice in Glendale, AZ

Q: What is Smiles Divine Dental Tmd Craniofacial Pain Center's specialty?

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

Active since November 03, 2014

6003 W THUNDERBIRD RD STE 2, GLENDALE, AZ 85306(602) 283-3545(602) 283-3545 Get Directions Write a Review

NPPES record last updated: March 30, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Smiles Divine Dental Tmd Craniofacial Pain Center NPPES

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

SMILES DIVINE DENTAL TMD CRANIOFACIAL PAIN CENTER (NPI 1295130292) is a healthcare organization registered as a general practice in Glendale, Arizona and active in the NPI registry since November 2014. The organization lists Neil Depante Tobias, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1295130292

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameSMILES DIVINE DENTAL TMD CRANIOFACIAL PAIN CENTER

Location Address6003 W THUNDERBIRD RD STE 2Glendale, AZ 85306-4004

Mailing Address6003 W Thunderbird Rd Ste 2Glendale, AZ 85306-4004 · (602) 283-3545 · Fax (602) 283-3545

Phone(602) 283-3545

Fax(602) 283-3545

Organization SubpartNo

Authorized OfficialNeil Depante TobiasSole Member · (602) 283-3545

Enumeration DateNovember 3, 2014

Last NPPES UpdateMarch 30, 2016

✔ NPI 1295130292 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 · 5366

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.

6003 W THUNDERBIRD RD STE 2, Glendale, AZ 85306

Open in Google Maps ↗

Other Identifiers 1

Medicaid559809AZ

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 Smiles Divine Dental Tmd Craniofacial Pain Center's NPI number?

The NPI number for Smiles Divine Dental Tmd Craniofacial Pain Center is 1295130292. It was assigned to this organization in the NPPES registry on November 3, 2014.

Where is Smiles Divine Dental Tmd Craniofacial Pain Center located?

Smiles Divine Dental Tmd Craniofacial Pain Center is located at 6003 W Thunderbird Rd Ste 2, Glendale, AZ 85306. The listed phone number is (602) 283-3545.

What is Smiles Divine Dental Tmd Craniofacial Pain Center'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 Smiles Divine Dental Tmd Craniofacial Pain Center was last updated on March 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.