Custom Smile Llc is a Dental Clinic in Mesa, Arizona. It is located at 2919 S Ellsworth Rd, Suite 141, Mesa, AZ and its contact number is 480-307-8430. The authorized person for Custom Smile Llc is Dr. Stan L Covington
who is Dentist of the clinic and their contact number is 480-307-8430. Other organizations associated with this clinic are Smith & Engel Dentistry, Custom Smile Llc, The primary license number for Custom Smile Llc is 4675 (Dentist) in Arizona.
Custom Smile Llc Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Custom Smile Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Custom Smile Llc |
| Specialization: | Dentistry |
| Clinic Address: | 2919 S Ellsworth Rd, Suite 141, Mesa,
Arizona, 85212-2164 |
| Phone: | 480-307-8430 |
| Fax: | 480-307-8431 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Stan L Covington |
| Position: | Dentist |
| Contact Number: | 480-307-8430 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Custom Smile Llc clinic are as mentioned below.
| NPI Number: | 1710148663 |
| NPI Enumeration Date: | 23 Jun, 2008 |
| NPI Last Update On: | 08 Jul, 2008 |
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
| Name | Specialization | NPI Number |
| Smith & Engel Dentistry | General Practice Dentistry | 1205913241 |
| Custom Smile Llc | Dentistry | 1710148663 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Custom Smile Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Dentist | 4675 | Arizona | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Custom Smile Llc
2919 S Ellsworth Rd, Suite 141
Mesa, Arizona |
| Zip: | 85212-2164 |
| Phone Number: | 480-307-8430 |
| Fax Number: | 480-307-8431 |
Patients can reach Custom Smile Llc at
2919 S Ellsworth Rd, Suite 141, Mesa, Arizona or can
call to book an appointment on 480-307-8430.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.