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BLG DENTAL PLLC NPI 1518563139


NPI Information

NPI: 1518563139
Provider Name: BLG DENTAL PLLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
6761 E TANQUE VERDE RD STE 3
TUCSON, AZ
ZIP 85715
Phone: (520) 886-8106
Get Directions

BLG DENTAL PLLC is a general practice dentist in Tucson, AZ. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. BLG DENTAL PLLC NPI is 1518563139. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6761 E TANQUE VERDE RD STE 3
TUCSON, AZ
ZIP 85715-323
Phone: (520) 886-8106
Fax: (520) 886-8510

The provider's authorized official is Benjamin L Gardea .
The authorized official title is Owner/dentist and has the following contact phone number (520) 886-8106.

The enumeration date for this NPI number is 12/9/2020 and was last updated on 12/9/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeYes
2261QD0000XClinic/CenterDentalNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.