ORTHODONTIC PROFESSIONALS PC (NPI# 1730252388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730252388 |
| Entity Type | Organization |
| Organization Name | ORTHODONTIC PROFESSIONALS PC |
| Practice Address |
150 N Pantano Rd Suite 100 Tucson AZ 85710 |
| Practice Telephone | 5202908787 |
| Practice Fax Number | 5202902278 |
| Mailing Telephone | 5202908787 |
| Mailing Fax Number | 5202902278 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MARK THOMAS DONOVAN (ORTHODONTIST) |
| Authorized Official Telephone | 5202908787 |
| Authorized Official Credential | DDS MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
| Street Address |
150 N PANTANO RD SUITE 100 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245487909 | Kurtis Andrew Kacer | Dentist | 150 N Pantano Rd, Suite 100, Tucson, AZ 85710-1401 | 2008-08-25 |
| 1922168814 | Mark T Donovan | Dentist | 150 N Pantano Rd, Suite 100, Tucson, AZ 85710 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689220691 | Elidia Beas Newbold | Technician | 9122 E. Calle Maria, Tuscon, AZ 85710 | 2019-08-15 |
| 1669934014 | Pain Institute of Southern Arizona (pisa), PC | Pain Medicine | 7140 E Rosewood Street, Suite 110, Tucson, AZ 85710 | 2019-04-04 |
| 1316438351 | Life Aligned Regenerative Medical Center LLC | General Practice | 7920 E Broadway Blvd, Suite 106, Tuscon, AZ 85710 | 2018-05-25 |
| 1497264253 | Beverly Capili | Nurse Practitioner | 6622 East Carondelet Drive, Tucson, AZ 85710 | 2017-09-25 |
| 1629590120 | Linsey Nicole Tomaro | Physician Assistant | 6303 E. Broadway Blvd., Suite 161, Tucson, AZ 85710 | 2017-07-17 |
| 1750803748 | Christopher Sullivan | Podiatrist | 6442 S. Speedway Blvd, Ste 102, Tucson, AZ 85710 | 2017-07-11 |
| 1346762713 | Friday Sika | Respite Care | 8251 E. Kenyon Dr., Tucson, AZ 85710 | 2017-07-07 |
| 1821536228 | Southern Arizona Urgent Care, LLC | Clinic/Center | 6303 E. Broadway Blvd, 161, Tucson, AZ 85710 | 2017-02-06 |
| 1659727816 | Mwangaza Residential Care LLC | Community Based Residential Treatment Facility, Mental Illness | 8421 E. Colette St, Tucson, AZ 85710 | 2016-05-06 |
| 1124494240 | Caring Connections for Special Needs, LLC | Community/Behavioral Health | 921 S Prudence Rd, Tucson, AZ 85710 | 2015-08-12 |
| Find all providers in zip 85710 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467061119 | Grinz Nw Plc | Dentist | 7488 N La Cholla Blvd, Tucson, AZ 85741-2306 | 2020-07-29 |
| 1740567817 | Orthopros Pllc | Dentist | 150 N Pantano Rd Ste 100, Tucson, AZ 85710-2300 | 2011-11-03 |
| 1194986141 | Kelley Mary Dunay | Dentist | 6445 W. Lost Canyon Dr, Tucson, AZ 85745 | 2008-06-23 |
| 1639376437 | Kyle Steven Rabe | Dentist | 10550 N La Canada Dr Ste 110, Tucson, AZ 85737-7130 | 2007-06-27 |
| 1770797110 | Andrew Todd Rosen | Dentist | 1865 N Kolb Rd, Tucson, AZ 85715-4900 | 2007-05-09 |
| 1114146685 | Candace Gail Walters | Dentist | 899 N Wilmot Rd Ste C1, Tucson, AZ 85711-1712 | 2007-04-24 |
| 1275752990 | Anthony F Delio | Dentist | 3601 W Cortaro Farms Rd, Suite 101, Tucson, AZ 85742-8615 | 2007-04-24 |
| 1780723197 | Delbert L. Kyger, Dds, Ms, PC | Dentist | 8444 N Oracle Rd Ste 130, Tucson, AZ 85704 | 2007-02-05 |
| 1366507725 | Michael Toy Don | Dentist | 6027 E Grant Rd, Tucson, AZ 85712-2316 | 2006-12-26 |
| 1770642498 | Matthew Forte Linaker | Dentist | 8070 N Oracle Rd, Tucson, AZ 85704-6416 | 2006-12-08 |
| 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.