SOUTHERN DENTAL SPECIALTIES OF TUCSON


Address: 1601 N Tucson Blvd Ste 12c, Tucson, AZ 85716-3405
Phone: 5203274224

SOUTHERN DENTAL SPECIALTIES OF TUCSON (NPI# 1760956189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760956189
Entity Type Organization
Organization Name SOUTHERN DENTAL SPECIALTIES OF TUCSON
Practice Address 1601 N Tucson Blvd Ste 12c
Tucson
AZ 85716-3405
Practice Telephone 5203274224
Enumeration Date 2019-01-18
Last Update Date 2019-01-18
Authorized Official Name JEROME BECK (SENIOR DIRECTOR OF OPERATIONS)
Authorized Official Telephone 4808334180
Is Organization Subpart Y
Parent Organization Name ASSOCIATED DENTAL CARE PROVIDERS

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist Dental Providers

Office Location

Street Address 1601 N TUCSON BLVD STE 12C
City TUCSON
State AZ
Zip Code 85716-3405

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063065043 Kristi Watson Mdpc Clinic/Center Hodges Eye Care and Surgical Location, 1502 N. Tucson Blvd, Tucson, AZ 85716 2019-07-19
1639731326 Leigh-anne Andre Social Worker 1135 N. Jones Blvd, Tucson, AZ 85716 2019-07-02
1053802462 Thomas Scott Mcvean Technician, Pathology 718 N Richey Blvd, Tucson, AZ 85716 2018-05-21
1063923787 Intermountain Health Center, Inc. Clinic/Center 3815 E. Monte Vista, Apt. 1101, Tuscon, AZ 85716 2017-10-20
1992224729 Rocio Fonseca Counselor 1014 N Country Club, Tucson, AZ 85716 2017-09-13
1548784473 Adrian Linda Fait Speech-Language Pathologist Child & Family Resources, Inc., 2800 E. Broadway Blvd, Tucson, AZ 85716 2017-08-02
1447701867 Katheryn Fredman Counselor 3830 E. Bellevue St., Tucson, AZ 85716 2016-10-20
1396114211 Craig Stark Internal Medicine 2978 E Greenlee St, Tucson, AZ 85716 2015-09-21
1598142283 Layla Carol Bradley Nurse Practitioner 3832 E. Speedway, Minute Clinic, Tucson, AZ 85716 2015-05-01
1134547813 Maeve Shaughnessy Counselor 2921 E Fort Lowell Rd Ste 207, Tucson, AZ 85716 2014-03-31
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073167854 Michael Whiting Dentist 1979 West Valencia Road, Tucson, AZ 85746 2019-07-30
1083270136 Jasmine Dahshan Dentist 1743 W Prince Rd Ste 115, Tucson, AZ 85705-5086 2019-05-14
1316434046 Tbd V, Pllc Dentist 1238 W Orange Grove Rd Ste 102, Tucson, AZ 85704-2950 2018-04-18
1427560713 Grant Road Dentistry, LLP Dentist 4811 E Grant Rd Ste 121, Tucson, AZ 85712-2763 2017-10-26
1801314810 Aurora Dental Group LLC Dentist 63675 E Saddlebrooke Blvd Ste M, Tucson, AZ 85739-1297 2017-08-30
1174067193 Tortolita Dental Group and Orthodontics, LLP Dentist 9725 N Thornydale Rd Ste 173, Tucson, AZ 85742-5027 2016-12-09
1336591437 Eugene Choi Dentist 7578 N. La Cholla Blvd, Tucson, AZ 85741 2016-07-13
1174984892 Affordable Dentures - Tucson, P.C. Dentist 3782 S 16th Ave, Tucson, AZ 85713-6079 2016-03-08
1881063782 Desert Sleep Solutions LLC Dentist 8265 S Houghton Rd Ste 101, Tucson, AZ 85747-5766 2015-09-21
1306213988 Sarah Chang Dentist 4711 W Calatrava Ln, Tucson, AZ 85742-8020 2015-08-30
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Competitor

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City TUCSON
Zip Code 85716

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Dataset Information

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.

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