KOOL SMILES
NPI 1588759161
Dentist - General Practice in Phoenix, AZ

Active since October 03, 2006
3554 W GLENDALE AVE, PHOENIX, AZ 85051(602) 233-5665(602) 233-5666 Get Directions Write a Review

NPPES record last updated: December 17, 2014. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Kool Smiles NPPES

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

KOOL SMILES (NPI 1588759161) is a healthcare organization registered as a general practice in Phoenix, Arizona and active in the NPI registry since October 2006. The organization lists Dale Mayfield, President, as its authorized official.

NPPES Registry Identity

NPI1588759161
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameKS AZ-1, PC
Location Address3554 W GLENDALE AVEPhoenix, AZ 85051-8358
Mailing Address1090 Northchase Pkwy Se Ste 150Marietta, GA 30067-6407 · (770) 916-5028 · Fax (678) 247-7858
Fax(602) 233-5666
Organization SubpartNo
Authorized OfficialDale MayfieldPresident · (770) 916-5028
Enumeration DateOctober 3, 2006
Last NPPES UpdateDecember 17, 2014
NPI 1588759161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

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.
Also ListedDentist · EndodonticsTaxonomy 1223E0200X
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X
3554 W GLENDALE AVE, Phoenix, AZ 85051

Other Names 1

Doing Business AsKool 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 2

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

Dentist (General Practice)
3554 W GLENDALE AVE
PHOENIX, AZ 85051
Dentist (General Practice)
3554 W GLENDALE AVE
PHOENIX, AZ 85051

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 Ks Az-1, PC's NPI number?

The NPI number for Ks Az-1, PC is 1588759161. It was assigned to this organization in the NPPES registry on October 3, 2006. The provider is doing business as Kool Smiles.

Where is Ks Az-1, PC located?

Ks Az-1, PC is located at 3554 W Glendale Ave, Phoenix, AZ 85051. The listed phone number is (602) 233-5665.

What is Ks Az-1, PC'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 Ks Az-1, PC was last updated on December 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.