1915 DENTAL PLLC NPI 1639643059

NPI Information

  • NPI: 1639643059
  • Provider Name: 1915 DENTAL PLLC
  • Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
  • Specialization: Customized Equipment
  • Entity Type: Organization
  • Doing Business As: TUBAC DENTAL
  • Address: 2221 E FRONTAGE RD
    C-101
    TUBAC, AZ
    ZIP 85646
  • Phone: (520) 398-8408

Map and Directions

Get Directions

NPI Details

1915 DENTAL PLLC is a customized equipment durable medical equipment medical supplies in Tubac, AZ. 1915 DENTAL PLLC NPI is 1639643059. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Tubac Dental.

The provider's business location address is:

2221 E FRONTAGE RD
C-101
TUBAC, AZ
ZIP 85646
Phone: (520) 398-8408

The provider's authorized official is Alex Foor .
The authorized official title is Owner/dentist and has the following contact phone number (520) 398-8408.

The enumeration date for this NPI number is 1/18/2019 and was last updated on 12/11/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122300000XDentistNo
2332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentYes

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: 11/21/2025

NPI Synchronization or Removal

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.

Previous NPI
Next NPI