TUCSON SMILES PEDIATRIC DENTISTRY AT LA CHOLLA, PLLC (NPI# 1225242910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225242910 |
| Entity Type | Organization |
| Organization Name | TUCSON SMILES PEDIATRIC DENTISTRY AT LA CHOLLA, PLLC |
| Practice Address |
5920 N La Cholla Blvd Ste 110 Tucson AZ 85741-3693 |
| Practice Telephone | 5205444171 |
| Practice Fax Number | 5205444172 |
| Mailing Telephone | 5205444171 |
| Mailing Fax Number | 5205444172 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2014-05-02 |
| Authorized Official Name | DR. LAILA BAHARLOO HISHAW (PEDIATRIC DENTIST) |
| Authorized Official Telephone | 5205444171 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
D5679 | AZ | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 791021 | 05 |
| Street Address |
5920 N LA CHOLLA BLVD STE 110 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85741-3693 |
| 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 | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407395189 | Stratman Kids Dentistry | Dentist | 801 N Wilmot Rd Ste D2, Tucson, AZ 85711-1715 | 2017-02-15 |
| 1588051353 | Cheol M. Choi | Dentist | 9565 E 22nd St Ste 143, Tucson, AZ 85748 | 2015-04-20 |
| 1679828297 | Tucson Smiles Pediatric Dentistry As Swan | Dentist | 2810 N Swan Rd Ste 140, Tucson, AZ 85712-6300 | 2012-07-19 |
| 1326359225 | John Henry Mclin | Dentist | 9565 E 22nd St, Suite 143, Tucson, AZ 85748-7500 | 2010-06-24 |
| 1508190968 | Hishaw & Abramian Pllc | Dentist | 8255 S Houghton Rd, Suite 101, Tucson, AZ 85747-9721 | 2009-10-01 |
| 1659527653 | Northwest Children's Dentistry PC | Dentist | 7610 N La Cholla Blvd, Tucson, AZ 85741-4201 | 2008-08-11 |
| 1568531002 | Angela M Wolfman | Dentist | 3953 E Paradise Falls Dr, Suite 110, Tucson, AZ 85712-6688 | 2006-11-07 |
| 1912095134 | Charles A Davis | Dentist | 716 N Country Club Rd, Tucson, AZ 85716-4506 | 2006-10-11 |
| 1013012228 | Katherine Tudor Cotton | Dentist | 10036 N Blue Crossing Way, Tucson, AZ 85743-5211 | 2006-09-13 |
| 1700895216 | Laila Baharloo Hishaw | Dentist | 5920 N La Cholla Blvd, Ste 110, Tucson, AZ 85741-3590 | 2006-08-05 |
| 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.