SOUTHWEST SMILES, LLC (NPI# 1013101419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013101419 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST SMILES, LLC |
| Practice Address |
2487 S Gilbert Rd Ste 105 Gilbert AZ 85295-2800 |
| Mailing Address |
11512 E Queensborough Ave Mesa AZ 85212-4091 |
| Practice Telephone | 4807321888 |
| Mailing Telephone | 4809516598 |
| Mailing Fax Number | 4804521811 |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2007-08-29 |
| Authorized Official Name | KELLY MARIE POVAR (MANAGING MEMBER) |
| Authorized Official Telephone | 4809516598 |
| Authorized Official Credential | RDH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 5585 | AZ | Dental Providers |
| Street Address |
2487 S GILBERT RD STE 105 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85295-2800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528192390 | Kelly M Winchester Povar | Dental Hygienist | 2487 S Gilbert Rd Ste 105, Gilbert, AZ 85296-5802 | 2007-03-15 |
| 1174165856 | Gilbert Dental Smiles LLC | Dentist | 2487 S Gilbert Rd Ste 105, Gilbert, AZ 85295-2800 | 2019-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508471368 | Lifequest Holding Company Gilbert, LLC | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd Suite 101, Gilbert, AZ 85295 | 2020-09-09 |
| 1255946075 | Lifequest Physical Medicine and Rehab | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd. Suite 101, Gilbert, AZ 85295 | 2020-09-09 |
| 1407467962 | Lifequest Physical Medicine and Rehab | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd, Suite 101, Gilbert, AZ 85295 | 2020-08-10 |
| 1275187718 | Guylene Lucien | Nurse Practitioner | 1689 S. Parkcrest Street, Gilbert, AZ 85295 | 2019-08-01 |
| 1326607144 | Hand Up Behavioral Services, LLC | Community/Behavioral Health | 4145 East Megan Street, Gilbert, AZ 85295 | 2019-06-06 |
| 1629582069 | Victoria Munoz Garcia | Naturopath | 920 S Williams Field Rd., Ste 102, Gilbert, AZ 85295 | 2017-11-21 |
| 1649798752 | Eureka Imperial Residence | Clinic/Center | 633 E Ray Road, Gilbert, AZ 85295 | 2017-09-08 |
| 1447791496 | Janine Patrice Faux | Counselor | 2563 S. Val Vista Drive St. 108, Gilbert, AZ 85295 | 2017-03-10 |
| 1437690450 | Erskine & Barber LLC | Clinic/Center | 5656 S. Power Rd #129, Gilbert, AZ 85295 | 2017-03-09 |
| 1164965448 | New Horizon Youth Homes, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 774 E. Buffalo St, Chandler, AZ 85295 | 2016-11-18 |
| Find all providers in zip 85295 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134786726 | Lisa Dawn Russo | Dental Hygienist | 2855 E Blackhawk Ct, Gilbert, AZ 85298-1003 | 2019-05-20 |
| 1982136693 | Marisa A Kobar | Dental Hygienist | 901 W Sherri Dr, Gilbert, AZ 85233-7933 | 2017-03-31 |
| 1215345657 | Audrey Mcfarland | Dental Hygienist | 244 E Catclaw Ct, Gilbert, AZ 85296-2232 | 2014-07-29 |
| 1528192390 | Kelly M Winchester Povar | Dental Hygienist | 2487 S Gilbert Rd Ste 105, Gilbert, AZ 85296-5802 | 2007-03-15 |
| 1376620104 | Stacey Lee Walker | Dental Hygienist | 2854 E Megan St, Gilbert, AZ 85296-5181 | 2006-11-01 |
| 1639348147 | Sharon L Byrd | Dental Hygienist | 2730 S Val Vista Dr, Bldg 11 Ste 164, Gilbert, AZ 85295-1675 | 2008-02-28 |
| 1841370897 | Christy Polidoro | Dental Hygienist | 3336 E Chandler Heights Rd, Gilbert, AZ 85297-4259 | 2006-10-16 |
| 1578652475 | Lauri Neil Malolo | Dental Hygienist | 2483 S Market St, Suite 101, Gilbert, AZ 85295-0722 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760096085 | Jerry Lee Collins Jr. | Dental Hygienist | 5205 E Cortland Blvd, Flagstaff, AZ 86004-9362 | 2020-09-03 |
| 1417560608 | Nicholette Congdon | Dental Hygienist | 208 E Knoles Drive, Flagstaff, AZ 86011-0001 | 2020-08-26 |
| 1093328437 | Ryan M Fisher | Dental Hygienist | 3300 S Gila Dr Apt 1, Flagstaff, AZ 86005-6537 | 2020-08-25 |
| 1609484369 | Sarah Lewallen | Dental Hygienist | 14804 N Cave Creek Rd # 105, Phoenix, AZ 85032-4945 | 2020-07-20 |
| 1033735402 | Denise Muesch Helm | Dental Hygienist | 1320 S Hilltop Ln, Cornville, AZ 86325-5143 | 2020-06-22 |
| 1093274466 | Sarah Carter | Dental Hygienist | 801 N Wilmot Rd Ste B1, Tucson, AZ 85711-1708 | 2019-03-15 |
| 1679042378 | Jessica Marie Florez | Dental Hygienist | 12425 W Bell Rd Ste 120, Surprise, AZ 85378-9022 | 2018-11-26 |
| 1467921478 | Amy M Fulps | Dental Hygienist | 235 W Catalina Dr, Safford, AZ 85546-2537 | 2018-11-19 |
| 1649765868 | Kaitlyn April Ornelas | Dental Hygienist | 228 London Bridge Rd, Lake Havasu City, AZ 86403-4685 | 2018-06-29 |
| 1093207326 | Tina M Warren | Dental Hygienist | 2385 N Ferguson Ave Ste 111, Tucson, AZ 85712-2835 | 2018-06-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.