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

Shine Az LLC

Organization Dental Clinic/Center · NPI 1689973679

Shine Az LLC is a Dental Clinic/Center in Glendale, Arizona. Licensed in Arizona. Registered with an NPI since 2011.

Licensed in
AZ
In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5940 W Union Hills Dr B 190
Glendale, AZ 85308-1308
Phone: (602) 314-4600
Fax: (602) 314-5506
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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 · Licence 7387 (AZ)

Record details

NPI number1689973679
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonathan Bolesta — Owner · (503) 877-8194
NPI enumeratedMarch 16, 2011
Last updated in NPPESMarch 16, 2011
Mailing address5940 W Union Hills Dr, B 190, Glendale, AZ 85308-1308

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