An Elegant Smile P.C.
Dentist, General Practice in Gilbert, AZ. Organization (NPI-2).
Details
- NPI
- 1609100700
- Entity type
- Organization (NPI-2)
- Legal business name
- An Elegant Smile P.C.
- Organization subpart
- No
- Enumeration date
- Sep 23, 2009
- Last updated
- Sep 23, 2009
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 |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 7144 | AZ | Yes |
Other names
- An Elegant Smile Dentistry (Doing Business As)
Practice location
3336 E Chandler Heights Rd Bldg 1Gilbert, AZ 85298-4259
Phone 480-840-6556 · Fax 480-840-6566
Mailing address
3336 E Chandler Heights Rd Bldg 1Gilbert, AZ 85298-4259
Phone 480-840-6556 · Fax 480-840-6566
Authorized official
Monica Vitela
Credentialing Coordinator
6024827000
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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