Organization · Type 2 NPI

Custom Smile LLC

Dentist · Mesa, AZ

NPI number 1710148663 Active

Practice location

2919 S Ellsworth Rd, Suite 141
Mesa, AZ 85212-2164

Call (480) 307-8430 Map

Fax (480) 307-8431

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X4675 (AZ)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1710148663

Custom Smile LLC's National Provider Identifier is 1710148663, issued on Jun 23, 2008. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Mesa, AZ. The record was last updated on Jul 8, 2008.