DR. KURT DAVID WALLIN


Address: 2934 W Ina Rd, Tucson, AZ 85741-2110
Phone: 4804322000

DR. KURT DAVID WALLIN (NPI# 1164716783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164716783
Entity Type Individual
Full Name DR. KURT DAVID WALLIN
Credential D.M.D.
Practice Address 2934 W Ina Rd
Tucson
AZ 85741-2110
Mailing Address 3648 E Janelle Way
Gilbert
AZ 85298-4836
Practice Telephone 4804322000
Mailing Telephone 4804322000
Enumeration Date 2011-05-31
Last Update Date 2012-12-13
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 122300000X Dentist DS038653 PA Dental Providers
Y 1223P0300X Dentist
Specialization: Periodontics
D008400 AZ Dental Providers

Office Location

Street Address 2934 W INA RD
City TUCSON
State AZ
Zip Code 85741-2110

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851369524 Vincent A Martinez Dentist 2934 W Ina Rd, Tucson, AZ 85741-2110 2006-03-09
1811329238 Sara Irene Smith Dental Hygienist 2934 W Ina Rd, Tucson, AZ 85741-2110 2013-08-08
1619275641 Betty Ana Choy Dental Hygienist 2934 W Ina Rd, Tucson, AZ 85741-2110 2011-02-28
1639485501 Victor Corella Garcia Dental Hygienist 2934 W Ina Rd, Tucson, AZ 85741-2110 2010-08-29
1245476423 Shokofeh Motlagh Dentist 2934 W Ina Rd, Tucson, AZ 85741-2110 2008-12-18
1861515207 Chris Babych Dentist 2934 W Ina Rd, Tucson, AZ 85741-2110 2007-04-09
1407981483 Tiffany Nichole Georgia Dentist 2934 W Ina Rd, Tucson, AZ 85741-2110 2007-02-22
1265535280 David Michael Kushner Dentist 2934 W Ina Rd, Tucson, AZ 85741-2110 2006-09-06
1194834721 Gilbert Sokal Dentist 2934 W Ina Rd, Tucson, AZ 85741-2110 2006-08-29
1487769329 Edgar G Valderrama Dentist 2934 W Ina Rd, Tucson, AZ 85741-2110 2006-08-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831790237 Taylor Seery Schwab Occupational Therapist Marana Unified School District, 7651 North Oldfather Dr, Tucson, AZ 85741 2020-11-03
1366095374 Rita Jean Weatherholt Counselor 7382 N Lacholla Blvd., Tucson, AZ 85741 2019-07-18
1225690076 Center for Pain Management LLC Clinic/Center 6060 N Fountain Drive, Tucson, AZ 85741 2019-07-02
1124506019 Emily Jensen Speech-Language Pathologist Thornydale Elementary School, 7651 N Oldfather Rd, Tucson, AZ 85741 2018-08-01
1366954703 Solterra La Cholla Operations, Lp Assisted Living Facility 6505 North La Cholla Blvd, Tucson, AZ 85741 2017-10-25
1932636123 Tucson Digestive Institute LLC Clinic/Center 7566 N La Cholla Blvd Ste B, Tucson, AZ 85741 2017-05-18
1336591437 Eugene Choi Dentist 7578 N. La Cholla Blvd, Tucson, AZ 85741 2016-07-13
1841672763 Gang Li Dentist 2242 W Distant Song St., Tucson, AZ 85741 2015-06-27
1467870378 Lisa Tucci Nurse Practitioner 7105 N. Lacholla Blvd., Tucson, AZ 85741 2014-03-29
1457639197 Vanessa Moore Speech-Language Pathologist 3400 West Massingale Road, Tucson, AZ 85741 2011-07-29
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Taxonomy Information

Taxonomy Code 1223P0300X
Grouping Dental Providers
Classification Dentist
Specialization Periodontics

Taxonomy Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235486507 Clark Mackelprang Dentist 2330 N Rosemont Blvd Unit A, Tucson, AZ 85712-2159 2012-08-06
1962570630 Brien V. Harvey, Dds, Ms Dentist 899 N Wilmot Rd Ste E2, Tucson, AZ 85711-1713 2006-12-01
1417055294 Southern Arizona Periodontics Plc Dentist 5225 E Knight Dr, Ste #401, Tucson, AZ 85712 2006-09-20
1336184415 Andrew E. Deeb Dentist 4008 E Pima St, Tucson, AZ 85712-3317 2006-06-20
1790720886 George Eli Deeb Dentist 5533 E Helen St, Tucson, AZ 85712-4943 2006-06-20
1578550182 Krystal J. Miles Dentist 7225 N Oracle Rd, Ste 201, Tucson, AZ 85704-6322 2005-09-29
1780679878 Edward Daniel Gall IIi Dentist 2330 N Rosemont Blvd, Suite A, Tucson, AZ 85712-2163 2005-09-14
1497755102 Graig D Brown Dentist 3148 N Swan Rd, Tucson, AZ 85712-1227 2005-07-22
1225455637 Lisa A. Lear, Dds, Msd, PC Dentist 6367 E Tanque Verde Rd, Suite 210, Tucson, AZ 85715-3829 2014-03-24
1366726234 Jared D Roberts Dentist 1751 W Orange Grove Rd, Suite 101, Tucson, AZ 85704-1192 2011-10-10
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Competitor

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City TUCSON
Zip Code 85741

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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