FIRST DENTAL CENTER (NPI# 1548660384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548660384 |
| Entity Type | Organization |
| Organization Name | FIRST DENTAL CENTER |
| Practice Address |
302 W Ajo Way Tucson AZ 85713-6039 |
| Practice Telephone | 5206248535 |
| Practice Fax Number | 5206248537 |
| Mailing Telephone | 5206248535 |
| Mailing Fax Number | 5206248537 |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2014-08-29 |
| Authorized Official Name | LUIS G KEYS (OWNER) |
| Authorized Official Telephone | 5206248535 |
| Authorized Official Credential | DDS, MDSC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
5759 | AZ | Dental Providers |
| Street Address |
302 W AJO WAY |
| City | TUCSON |
| State | AZ |
| Zip Code | 85713-6039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598848319 | Sundeep Singh Gill | Dentist | 302 W Ajo Way, Tucson, AZ 85713-6039 | 2006-10-23 |
| 1497138721 | Brian Martin | Dentist | 302 W Ajo Way, Tucson, AZ 85713-6039 | 2015-07-06 |
| 1932277258 | Richard L Gomez Dds PC | Dentist | 302 W Ajo Way, Tucson, AZ 85713-6039 | 2006-12-04 |
| 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 | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144453044 | Jeffrey D Lewis | Dentist | 5099 E Grant Rd Ste 330, Tucson, AZ 85712-2764 | 2009-08-26 |
| 1437239159 | Carl Leslie Brownd | Dentist | 5099 E Grant Rd, #330, Tucson, AZ 85712-2732 | 2006-10-17 |
| 1760584106 | Howard M Steinberg | Dentist | 2385 N Ferguson Ave, Ste 111, Tucson, AZ 85712 | 2006-09-05 |
| 1497753719 | Larry Hugh West | Dentist | 1104 N El Dorado Place, Tucson, AZ 85715 | 2005-07-11 |
| 1457555732 | Alen Madadi | Dentist | 4955 N Sabino Canyon Rd Ste 103, Tucson, AZ 85750-6491 | 2007-06-12 |
| 1336293570 | E. Karina Keys | Dentist | 15601 N Oracle Rd, Tucson, AZ 85739-9171 | 2007-01-23 |
| 1447349485 | Luis G. Keys | Dentist | 15601 N Oracle Rd, Tucson, AZ 85739-9171 | 2006-10-11 |
| 1912922022 | Bruce Allen Kennedy | Dentist | 3601 S 6th Ave, Tucson, AZ 85723-0001 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922563691 | Surprise Implants & Prosthodontics Pllc | Dentist | 14967 W Bell Rd Ste 100, Surprise, AZ 85374-3201 | 2019-02-06 |
| 1720503758 | Russell John Crockett | Dentist | 5533 E Bell Rd Ste 120, Scottsdale, AZ 85254-1256 | 2017-08-10 |
| 1548792666 | Arrowhead Prosthodontics Pllc | Dentist | 18555 N 79th Ave Ste A101, Glendale, AZ 85308-8371 | 2017-03-29 |
| 1215360979 | Tamer El-gendy | Dentist | 3435 E Comstock Dr, Gilbert, AZ 85296-1892 | 2013-08-16 |
| 1982979456 | Joann Crystal Baxter | Dentist | 16127 E Powderhorn Dr, Fountain Hills, AZ 85268-6505 | 2012-03-17 |
| 1497045694 | Nathanial Edward Farley | Dentist | 107 N Greenfield Rd Ste 1, Mesa, AZ 85205-7802 | 2011-04-10 |
| 1205074879 | Edward Kent Fritch | Dentist | 18650 N Thompson Peak Pkwy, Suite 2010, Scottsdale, AZ 85255-6190 | 2009-02-04 |
| 1740433713 | Mark Stephen Montana | Dentist | 2147 E Southern Ave, Tempe, AZ 85282-7503 | 2008-11-03 |
| 1801049010 | Fitzgerald Professional Corporation | Dentist | 7054 East Cochise Rd, B-230, Scottsdale, AZ 85253-4550 | 2008-10-31 |
| 1477709004 | Kevin Brian Cebrynski | Dentist | 9097 E Desert Cove Dr Ste 240, Scottsdale, AZ 85260-6277 | 2008-08-14 |
| Find all providers with the same taxonomy | ||||
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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.