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TOOTH TOWN DENTISTRY 4 KIDS NPI 1376111997


NPI Information

NPI: 1376111997
Provider Name: TOOTH TOWN DENTISTRY 4 KIDS
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
15990 S RANCHO SAHUARITA BLVD STE 110
SAHUARITA, AZ
ZIP 85629
Phone: (520) 363-4774
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TOOTH TOWN DENTISTRY 4 KIDS is a pediatric dentistry dentist in Sahuarita, AZ. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. TOOTH TOWN DENTISTRY 4 KIDS NPI is 1376111997. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

15990 S RANCHO SAHUARITA BLVD STE 110
SAHUARITA, AZ
ZIP 85629-022
Phone: (520) 363-4774

The provider's authorized official is Nataly Penuelas .
The authorized official title is Office Manager and has the following contact phone number (208) 680-0186.

The enumeration date for this NPI number is 6/11/2021 and was last updated on 6/11/2021.


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
11223P0221XDentistPediatric DentistryYes

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: 4/28/2024

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