Healthcare Provider Details

I. General information

NPI: 1952218679
Provider Name (Legal Business Name): SERENITY SMILES DENTAL WELLNESS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2680 S VAL VISTA DR STE 185
GILBERT AZ
85295-1674
US

IV. Provider business mailing address

2680 S VAL VISTA DR STE 185
GILBERT AZ
85295-1674
US

V. Phone/Fax

Practice location:
  • Phone: 480-360-1877
  • Fax: 480-770-2491
Mailing address:
  • Phone: 480-360-1877
  • Fax: 480-770-2491

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISTIE JACQUES
Title or Position: PROVIDER
Credential: DDS
Phone: 480-360-1877