PEORIA DENTAL SMILES LLC
NPI 1386354751
Clinic/Center - Dental in Peoria, AZ

Active since November 28, 2022
9059 W LAKE PLEASANT PKWY STE A100, PEORIA, AZ 85382(623) 572-0102 Get Directions Write a Review

NPPES record last updated: November 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Peoria Dental Smiles Llc NPPES

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

PEORIA DENTAL SMILES LLC (NPI 1386354751) is a healthcare organization registered as a dental in Peoria, Arizona and active in the NPI registry since November 2022. The organization lists Tera Niedens, Accountant, as its authorized official.

NPPES Registry Identity

NPI1386354751
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePEORIA DENTAL SMILES LLC
Location Address9059 W LAKE PLEASANT PKWY STE A100Peoria, AZ 85382-8393
Mailing Address34225 N 27th Dr Ste 241Phoenix, AZ 85085-6091 · (623) 289-2616
Organization SubpartNo
Authorized OfficialTera NiedensAccountant · (623) 289-2616
Enumeration DateNovember 28, 2022
NPPES CertifiedNovember 28, 2022
NPI 1386354751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
9059 W LAKE PLEASANT PKWY STE A100, Peoria, AZ 85382

Accepted Insurance

Other Providers at the Same Location NPPES

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

Clinic/Center (Dental)
9059 W LAKE PLEASANT PKWY STE A100
PEORIA, AZ 85382

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 Peoria Dental Smiles LLC's NPI number?

The NPI number for Peoria Dental Smiles LLC is 1386354751. It was assigned to this organization in the NPPES registry on November 28, 2022.

Where is Peoria Dental Smiles LLC located?

Peoria Dental Smiles LLC is located at 9059 W Lake Pleasant Pkwy Ste A100, Peoria, AZ 85382. The listed phone number is (623) 572-0102.

What is Peoria Dental Smiles LLC's specialty?

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

What insurance does Peoria Dental Smiles LLC accept?

Health plans from Ambetter from Arizona Complete Health, DentaQuest Insurance Company, Inc. and UnitedHealthcare list Peoria Dental Smiles LLC 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 Peoria Dental Smiles LLC was last updated on November 28, 2022. 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.