Sweet Tooth Dental
Clinic/Center, Dental in Phoenix, AZ. Organization (NPI-2).
NPI number1023748845
StatusActive
Last updated in NPPESJun 14, 2022
Details
- NPI
- 1023748845
- Entity type
- Organization (NPI-2)
- Legal business name
- Sweet Tooth Dental
- Organization subpart
- No
- Enumeration date
- Jun 14, 2022
- Certification date
- Jun 7, 2022
- Last updated
- Jun 14, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Other names
- Uptown Dental & Orthodontics (Doing Business As)
Practice location
213 E Monterey WayPhoenix, AZ 85012-2619
Phone 602-892-6726
Mailing address
213 E Monterey WayPhoenix, AZ 85012-2619
Phone 602-892-6726
Authorized official
Nicole Hall
Owner
4062128896
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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