OrganizationActive
Shine Az LLC
NPI 1689973679 · Dental Clinic/Center · Glendale, AZ
Shine Az LLC is a Dental Clinic/Center organization in Glendale, AZ (NPI 1689973679).
Provider details
- NPI number
- 1689973679
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jonathan Bolesta, Owner(503) 877-8194
- License
- 7387 (AZ)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(82/100 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
5940 W Union Hills Dr
B 190
Glendale, AZ 85308-1308
Phone: (602) 314-4600
Fax: (602) 314-5506
Street-level locationGet directions
Mailing address
5940 W Union Hills Dr
Glendale, AZ 85308-1308
Registry dates
- Enumerated
- 2011-03-16
- Last updated
- 2011-03-16
Frequently asked questions
- What is Shine Az LLC's NPI number?
- Shine Az LLC's National Provider Identifier (NPI) is 1689973679, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shine Az LLC?
- Shine Az LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Shine Az LLC located?
- Shine Az LLC's practice location on file with NPPES is 5940 W Union Hills Dr, Glendale, AZ 85308-1308.
- What is Shine Az LLC's phone number?
- The practice phone number listed in the NPPES registry for Shine Az LLC is (602) 314-4600.
- Who is the authorized official for Shine Az LLC?
- The authorized official listed on Shine Az LLC's NPPES record is Jonathan Bolesta, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shine Az LLC's NPI active?
- Yes — Shine Az LLC's NPI (1689973679) is active in the NPPES registry as of the last update on 2011-03-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.