Provider Demographics
NPI:1003797762
Name:CREATIVE SMILES
Entity type:Organization
Organization Name:CREATIVE SMILES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PREETIZA
Authorized Official - Middle Name:
Authorized Official - Last Name:DIXIT GYAWALI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:602-245-6341
Mailing Address - Street 1:3011 S LINDSAY RD STE 118
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85295-4334
Mailing Address - Country:US
Mailing Address - Phone:480-219-6336
Mailing Address - Fax:
Practice Address - Street 1:3011 S LINDSAY RD STE 118
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85295-4334
Practice Address - Country:US
Practice Address - Phone:480-219-6336
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-09
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty