OrganizationActive
An Elegant Smile P.C.
NPI 1760797146 · General Practice Dentistry · Peoria, AZ
Provider details
- NPI number
- 1760797146
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Monica Vitela, Credentialing Coordinator(602) 482-7000
- License
- 3531 (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
14155 N 83rd Ave Bldg 3
Peoria, AZ 85381-5639
Phone: (623) 486-5222
Fax: (623) 486-5226
Street-level locationGet directions
Mailing address
14155 N 83rd Ave Bldg 3
Peoria, AZ 85381-5639
Other names (DBA / former)
- Doing business as
- An Elegant Smile Denistry
Registry dates
- Enumerated
- 2010-08-10
- Last updated
- 2010-08-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.