OrganizationActive
Smile Phoenix PLLC
NPI 1093024341 · General Practice Dentistry · Phoenix, AZ
Provider details
- NPI number
- 1093024341
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Douglas Gordon, President(623) 362-8200
- License
- 2191 (AZ)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2330 N 75th Ave Ste 112
Phoenix, AZ 85035-1200
Phone: (623) 849-0477
Fax: (623) 849-6111
Street-level locationGet directions
Mailing address
2330 N 75th Ave Ste 112
Phoenix, AZ 85035-1200
Other names (DBA / former)
- Doing business as
- Smile Fitness Dental Center
Registry dates
- Enumerated
- 2010-10-05
- Last updated
- 2010-10-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.