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SMILE TRANSFORMATION CENTRE LLC
NPI 1609636034
Dentist - General Practice in Glendale, AZ

Active since March 21, 2024
9980 W GLENDALE AVE, GLENDALE, AZ 85307(623) 877-9501 Get Directions Write a Review

NPPES record last updated: March 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Smile Transformation Centre Llc NPPES

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

SMILE TRANSFORMATION CENTRE LLC (NPI 1609636034) is a healthcare organization registered as a general practice in Glendale, Arizona and active in the NPI registry since March 2024. The organization lists Rodney Clark Tilley, Owner/gm, as its authorized official.

NPPES Registry Identity

NPI1609636034
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSMILE TRANSFORMATION CENTRE LLC
Location Address9980 W GLENDALE AVEGlendale, AZ 85307-3005
Mailing Address16627 S Lindsay RdGilbert, AZ 85295-1501 · (602) 695-4192
Phone(623) 877-9501
Organization SubpartNo
Authorized OfficialRodney Clark TilleyOwner/gm · (602) 695-4192
Enumeration DateMarch 21, 2024
NPPES CertifiedMarch 21, 2024
✔ NPI 1609636034 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.
9980 W GLENDALE AVE, Glendale, AZ 85307
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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

Other Providers at the Same Location NPPES

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

DR. TAYLOR KITKOWSKI PT, DPT
Physical Therapist
9980 W GLENDALE AVE
GLENDALE, AZ 85307
Maricopa County (623) 242-6908

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 Smile Transformation Centre LLC's NPI number?

The NPI number for Smile Transformation Centre LLC is 1609636034. It was assigned to this organization in the NPPES registry on March 21, 2024.

Where is Smile Transformation Centre LLC located?

Smile Transformation Centre LLC is located at 9980 W Glendale Ave, Glendale, AZ 85307. The listed phone number is (623) 877-9501.

What is Smile Transformation Centre LLC'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 Smile Transformation Centre LLC was last updated on March 21, 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.