Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Aesthetic Smiles of Queen Creek

Organization General Practice Dentistry · NPI 1013793785

Aesthetic Smiles of Queen Creek is a General Practice Dentistry in Queen Creek, Arizona. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
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Practice location Address checks out

22362 E Domingo Rd Ste 102
Queen Creek, AZ 85142
Phone: (480) 652-5797
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X
General Practice Dentistry Taxonomy 1223G0001X

Record details

NPI number1013793785
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cameron Blyth — Dentist · (480) 652-5797
NPI enumeratedSeptember 7, 2023
Last updated in NPPESSeptember 7, 2023
Certification dateSeptember 5, 2023
Mailing address19106 E Mary Ann Way, Queen Creek, AZ 85142-9911

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