DENTAL LIFE NPI 1730647769

NPI Information

  • NPI: 1730647769
  • Provider Name: DENTAL LIFE
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: CALLE MIGUEL IDALFO Y COSTILLA
    NO. 65 COL. FUNDO LEGAL
    NOGALES, SONORA
    ZIP 84030
  • Phone: (520) 313-1494

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NPI Details

DENTAL LIFE is a general practice dentist in Nogales, SONORA. 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. DENTAL LIFE NPI is 1730647769. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

CALLE MIGUEL IDALFO Y COSTILLA
NO. 65 COL. FUNDO LEGAL
NOGALES, SONORA
ZIP 84030
Phone: (520) 313-1494

The provider's authorized official is Roberto Carlos Jauregui Lewis .
The authorized official title is Odontology & Dentistry and has the following contact phone number (520) 313-1494.

The enumeration date for this NPI number is 3/8/2019 and was last updated on 3/8/2019.

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
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: 11/21/2025

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