MEDICARE: SMILE STRAIGHT ORTHODONTICS-AZ PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	D05860	AZ

General Provider Information

NPI Number	:	1578995403
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SMILE STRAIGHT ORTHODONTICS-AZ PLLC

Provider Business Mailing Address
First Line	:	3552 W GLENDALE AVE
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85051-8358
Country	:	US
Telephone Number	:	602-888-7844
Fax Number	:	602-841-0426

Provider Business Practice Location Address
First Line	:	3552 W GLENDALE AVE
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85051-8358
Country	:	US
Telephone Number	:	602-888-7844
Fax Number	:	602-841-0426

Authorized Official
Title or Position	:	OWNER/DENTIST
Name	:	STEPHEN HUNSAKER
Credential	:	DDS
Telephone Number	:	602-888-7844

Provider Enumeration Date	:	08/02/2013
Last Update Date	:	08/02/2013

Similar Medicare Providers

1588759161 — KS AZ-1, PC
Practice Location Address:

3554 W GLENDALE AVE
PHOENIX, AZ
85051-8358

Practice Phone: 602-233-5665
Practice Fax: 602-233-5666

1194856955 — DR. TIMOTHY MANNING DMD
Practice Location Address:

3554 W GLENDALE AVE
PHOENIX, AZ
85051-8358

Practice Phone: 602-233-5665
Practice Fax:

1932346897 — DR. MICHAEL VINCENT WALL D.D.S.
Practice Location Address:

3552 W GLENDALE AVE , STE. B
PHOENIX, AZ
85051-8358

Practice Phone: 602-888-7844
Practice Fax:

1770927410 — GENERAL DENTISTRY 4 KIDS-GLENDALE PLLC
Practice Location Address:

3554 W GLENDALE AVE
PHOENIX, AZ
85051-8358

Practice Phone: 602-888-7844
Practice Fax: 602-841-0426

1447101050 — KAYLEEN VARGAS RD
Practice Location Address:

10000 N 31ST AVE STE C105
PHOENIX, AZ
85051-9625

Practice Phone: 623-399-6825
Practice Fax: 623-505-3474

1447069141 — BRILLIANT CARE LLC
Practice Location Address:

3612 W DUNLAP AVE STE E
PHOENIX, AZ
85051-5300

Practice Phone: 602-315-9529
Practice Fax:

Directions to “SMILE STRAIGHT ORTHODONTICS-AZ PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.