INNOVATIVE DENTAL GROUP PLLC NPI 1639677115

NPI Information

INNOVATIVE DENTAL GROUP, 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. INNOVATIVE DENTAL GROUP, PLLC NPI is 1639677115. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Advanced Family Dentistry.

The provider's business location address is:

5209 N ORACLE RD
TUCSON, AZ
ZIP 85704-707
Phone: (520) 353-3002

The provider's authorized official is Payam Kimiaei-asadi .
The authorized official title is Dentist and has the following contact phone number (520) 353-3002.

The enumeration date for this NPI number is 1/30/2018 and was last updated on 2/20/2020.

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:

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