KS AZ-2, PC (NPI# 1396832994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396832994 |
| Entity Type | Organization |
| Organization Name | KS AZ-2, PC |
| Other Organization Name | DORSETT DENTISTRY |
| Practice Address |
2990 S 6th Ave Tucson AZ 85713 |
| Mailing Address |
1090 Northchase Pkwy Se Ste 150 Marietta GA 30067-6407 |
| Practice Telephone | 5203255665 |
| Practice Fax Number | 5203275666 |
| Mailing Telephone | 7709165028 |
| Mailing Fax Number | 6782477858 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2018-08-29 |
| Authorized Official Name | DR. DALE MAYFIELD (PRESIDENT) |
| Authorized Official Telephone | 7709165036 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Dorsett Dentistry | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588751184 | Ks Az-2, PC | Dentist | 2383 West 24th Street, Yuma, AZ 85364 | 2006-10-06 |
| 1487846317 | Ks Az-2, PC | Dentist | 5504 E 22nd St, Suite 140, Tucson, AZ 85711 | 2007-08-14 |
| Street Address |
2990 S 6TH AVE |
| City | TUCSON |
| State | AZ |
| Zip Code | 85713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316599855 | Milad Kiani | Dentist | 2990 S 6th Ave, Tucson, AZ 85713-4705 | 2019-07-15 |
| 1194143222 | Luis D Gutierrez Pulido | Dentist | 2990 S 6th Ave, Tucson, AZ 85713-4705 | 2014-04-05 |
| 1851715791 | Elizabeth Koo | Dentist | 2990 S 6th Ave, Tucson, AZ 85713-4705 | 2014-02-12 |
| 1306285838 | Tanya Lynne Nielsen | Dentist | 2990 S 6th Ave, Tucson, AZ 85713-4705 | 2013-06-18 |
| 1235416405 | Scott Kennel | Dentist | 2990 S 6th Ave, Tucson, AZ 85713-4705 | 2011-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679115489 | Eric James Mccracken | Nurse Practitioner | 1230 South Cherrybell Stravanue, Tucson, AZ 85713 | 2019-10-14 |
| 1336702448 | Julie Tomkins | Psychiatry & Neurology | Behavioral Health Pavilion, 2800 E Ajo Way, Tucson, AZ 85713 | 2019-04-16 |
| 1861958332 | El Rio Santa Cruz Neighborhood Health Center, Inc | Pharmacy | 1230 S Cherrybell Strav, Tucson, AZ 85713 | 2019-02-20 |
| 1164993002 | Lisa Ann Lindsay | Nurse Practitioner | 1230 S Cherrybell Stravenue, Tucson, AZ 85713 | 2018-12-17 |
| 1043701717 | Ramsha Saeed Rao | Student in an Organized Health Care Education/Training Program | Maria Jennings 2800 E. Ajo Way, Tucson, AZ 85713 | 2018-05-29 |
| 1215381736 | Nancy G Larison | Counselor | 504 W 29th Street, La Frontera Center, Inc., Tucson, AZ 85713 | 2016-04-21 |
| 1053791749 | Eric Lederer | Emergency Medicine | 3950 S. Country Club Rd, Ste. 200, Tucson, AZ 85713 | 2015-06-08 |
| 1942625025 | Eugene Randolph Shields | Obstetrics & Gynecology | 2315 W. Ocelot Drive, Tucson, AZ 85713 | 2014-02-26 |
| 1821361973 | Irene A Laventure | Nurse Practitioner | 2800 East Ajo Way, University of Arizona Medical Center - South Campus, Tucson, AZ 85713 | 2012-02-21 |
| 1386917417 | Caring Together,llc | Respite Care | 2957 E 24th Street, Tucson, AZ 85713 | 2012-02-21 |
| Find all providers in zip 85713 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871191197 | Dentalpros, LLC | Dentist | 225 E Valencia Rd Ste 135, Tucson, AZ 85706-6866 | 2020-10-09 |
| 1457958928 | Eesha Katarya | Dentist | 1060 S Harrison Rd Ste 110, Tucson, AZ 85748-6603 | 2020-10-07 |
| 1285243907 | James Bryan Madril | Dentist | 1218 W Irvington Rd, Tucson, AZ 85714-1136 | 2020-07-28 |
| 1669026167 | Midvale Park Dental Partners LLC | Dentist | 1979 W Valencia Rd, Tucson, AZ 85746 | 2019-08-01 |
| 1366001430 | Carlos A Rodriguez | Dentist | 3208 E Fort Lowell Rd Ste 101, Tucson, AZ 85716-1625 | 2019-06-11 |
| 1619448859 | Marie Anne Robillard | Dentist | 1601 N Tucson Blvd Ste 24, Tucson, AZ 85716-3407 | 2018-12-16 |
| 1881180669 | Alexandra Trinidad Quiroz Martin | Dentist | 5445 N Kolb Rd Ste 205, Tucson, AZ 85750-0750 | 2018-07-05 |
| 1356871552 | Kirsten Linaker | Dentist | 2300 N Craycroft Rd Ste 3, Tucson, AZ 85712-2808 | 2017-06-19 |
| 1811427073 | Samip Patel | Dentist | 8160 S Houghton Rd Ste 130, Tucson, AZ 85747-9720 | 2017-06-19 |
| 1003353822 | Lenny W Arias Dds Pllc | Dentist | 4955 N Sabino Canyon Rd, Suite 103, Tucson, AZ 85750-6491 | 2017-01-31 |
| Find all providers in TUCSON | ||||
Please comment or provide details below to improve the information on KS AZ-2, PC.
| 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.