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ARIZONA ANESTHESIA FOR DENTISTRY LLC NPI 1700241809


NPI Information

NPI: 1700241809
Provider Name: ARIZONA ANESTHESIA FOR DENTISTRY, LLC
Classification: Dentist - 1223D0004X
Entity Type: Organization

Specialization: Dentist Anesthesiologist

Address:
6600 N ORACLE RD
STE 110
TUCSON, AZ
ZIP 85704
Phone: (208) 559-6122
Get Directions

ARIZONA ANESTHESIA FOR DENTISTRY, LLC is a dentist anesthesiologist dentist in Tucson, AZ. The provider is a dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology. ARIZONA ANESTHESIA FOR DENTISTRY, LLC NPI is 1700241809. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6600 N ORACLE RD
STE 110
TUCSON, AZ
ZIP 85704-676
Phone: (208) 559-6122

The provider's authorized official is Jeremy Bonander .
The authorized official title is Dentist/owner and has the following contact phone number (208) 559-6122.

The enumeration date for this NPI number is 12/16/2015 and was last updated on 12/16/2015.


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
11223D0004XDentistDentist AnesthesiologistD8861ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1552228MEDICAIDARIZONA
2908509MEDICAIDARIZONA
3814918MEDICAIDARIZONA

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

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