MEDICARE: AN ELEGANT SMILE P.C.

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	1223G0001X	General Practice Dentistry	7144	AZ

General Provider Information

NPI Number	:	1609100700
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AN ELEGANT SMILE P.C.

Provider Business Mailing Address
First Line	:	3336 E CHANDLER HEIGHTS RD BLDG 1
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85298-4259
Country	:	US
Telephone Number	:	480-840-6556
Fax Number	:	480-840-6566

Provider Business Practice Location Address
First Line	:	3336 E CHANDLER HEIGHTS RD BLDG 1
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85298-4259
Country	:	US
Telephone Number	:	480-840-6556
Fax Number	:	480-840-6566

Authorized Official
Title or Position	:	CREDENTIALING COORDINATOR
Name	:	MONICA VITELA
Credential	:
Telephone Number	:	602-482-7000

Provider Enumeration Date	:	09/23/2009
Last Update Date	:	09/23/2009

Similar Medicare Providers

1467430397 — DR. ROBERT B. GILES O.D.
Practice Location Address:

3336 E CHANDLER HEIGHTS RD , BLDG A, SUITE 104
GILBERT, AZ
85298-4259

Practice Phone: 480-279-3937
Practice Fax:

1235198607 — DAVID M VALENZUELA M.D.
Practice Location Address:

3336 E CHANDLER HEIGHTS RD , BLDG. A, SUITE 101
GILBERT, AZ
85298-4259

Practice Phone: 480-412-5900
Practice Fax: 480-890-2997

1538129200 — JASON J CHENG M.D.
Practice Location Address:

3336 E CHANDLER HEIGHTS RD , BLDG. 1, SUITE 101
GILBERT, AZ
85298-4259

Practice Phone: 480-412-5900
Practice Fax: 480-890-2997

1700826526 — LARRY ALLEN GRUVER MPT,ATC
Practice Location Address:

3336 E CHANDLER HEIGHTS RD , SUITE 126
GILBERT, AZ
85298-4259

Practice Phone: 480-840-6125
Practice Fax: 480-840-6122

1750455234 — SEVILLE EYE CENTER LLC
Practice Location Address:

3336 E CHANDLER HEIGHTS RD , BLDG A STE 104
GILBERT, AZ
85298-4259

Practice Phone: 480-279-3937
Practice Fax: 480-889-2948

1780711465 — SUSAN SUNA JUNG YIN D.O.
Practice Location Address:

3336 E CHANDLER HEIGHTS RD , BUILDING 6 SUITE 132
GILBERT, AZ
85298-4259

Practice Phone: 480-460-4949
Practice Fax: 480-460-5858

Directions to “AN ELEGANT SMILE P.C. ” 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.