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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122300000X | Dentist | Dental Providers |
Street Address |
1601 N TUCSON BLVD STE 12C |
City | TUCSON |
State | AZ |
Zip Code | 85716-3405 |
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 |
Find all providers in zip 85716 |
Taxonomy Code | 122300000X |
Grouping | Dental Providers |
Classification | Dentist |
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 |
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 |
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.