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).
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 |
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 |
Street Address |
2934 W INA RD |
City | TUCSON |
State | AZ |
Zip Code | 85741-2110 |
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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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 |
Find all providers in zip 85741 |
Taxonomy Code | 1223P0300X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Periodontics |
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 |
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 |
Find all providers in TUCSON |
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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.