OrganizationActive
Modern Smiles PLLC
NPI 1164292256 · General Practice Dentistry · Phoenix, AZ
Modern Smiles PLLC is a General Practice Dentistry organization in Phoenix, AZ (NPI 1164292256).
Provider details
- NPI number
- 1164292256
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Chad Hendricks, Credentialing(612) 859-0444
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
2933 W Cactus Rd
Phoenix, AZ 85029-2346
Phone: (602) 863-9079
Street-level locationGet directions
Mailing address
2933 W Cactus Rd
Phoenix, AZ 85029-2346
Other names (DBA / former)
- Doing business as
- Modern Smiles
Registry dates
- Enumerated
- 2024-01-08
- Last updated
- 2024-01-08
- Certified
- 2024-01-08
Frequently asked questions
- What is Modern Smiles PLLC's NPI number?
- Modern Smiles PLLC's National Provider Identifier (NPI) is 1164292256, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Modern Smiles PLLC?
- Modern Smiles PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Modern Smiles PLLC located?
- Modern Smiles PLLC's practice location on file with NPPES is 2933 W Cactus Rd, Phoenix, AZ 85029-2346.
- What is Modern Smiles PLLC's phone number?
- The practice phone number listed in the NPPES registry for Modern Smiles PLLC is (602) 863-9079.
- Who is the authorized official for Modern Smiles PLLC?
- The authorized official listed on Modern Smiles PLLC's NPPES record is Chad Hendricks, Credentialing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Modern Smiles PLLC's NPI active?
- Yes — Modern Smiles PLLC's NPI (1164292256) is active in the NPPES registry as of the last update on 2024-01-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.