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GENERAL DENTISTRY 4 KIDS-TUCSON NPI 1790907004


NPI Information

NPI: 1790907004
Provider Name: GENERAL DENTISTRY 4 KIDS-TUCSON

Doing Business As: GENERAL DENTISTRY 4 KIDS

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2102 N COUNTRY CLUB RD
STE A
TUCSON, AZ
ZIP 85716
Phone: (520) 323-1400
Get Directions

GENERAL DENTISTRY 4 KIDS-TUCSON 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. GENERAL DENTISTRY 4 KIDS-TUCSON NPI is 1790907004. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As General Dentistry 4 Kids.

The provider's business location address is:

2102 N COUNTRY CLUB RD
STE A
TUCSON, AZ
ZIP 85716-831
Phone: (520) 323-1400
Fax: (520) 547-0042

The provider's authorized official is Joseph Tann .
The authorized official title is In-house Counsel and has the following contact phone number (480) 607-9999.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 11/26/2013.


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

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.