SPANISH TRAIL DENTAL GROUP, LLP (NPI# 1902013006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902013006 |
| Entity Type | Organization |
| Organization Name | SPANISH TRAIL DENTAL GROUP, LLP |
| Other Organization Name | SPANISH TRAIL DENTAL GROUP |
| Practice Address |
9660 E. 22nd Street Suite 160 Tucson AZ 85748 |
| Mailing Address |
2860 Michelle 2nd Floor Irvine CA 92606-1009 |
| Practice Telephone | 5209170666 |
| Practice Fax Number | 5209170670 |
| Mailing Telephone | 7145083600 |
| Mailing Fax Number | 7143682092 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2010-06-21 |
| Authorized Official Name | DR. BRIAN D BUEHLER (OWNER DOCTOR) |
| Authorized Official Telephone | 5209170666 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| SPANISH TRAIL DENTAL GROUP | Doing Business As Name - Organization |
| Street Address |
9660 E. 22ND STREET SUITE 160 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750892246 | Intermountain Health Center, Inc. | Community/Behavioral Health | 994 S. Harrison Road, Tucson, AZ 85748 | 2017-10-24 |
| 1083125587 | Intermountain Health Center, Inc. | Community/Behavioral Health | 1020 South Harrison Road, Tucson, AZ 85748 | 2017-10-24 |
| 1730699679 | Southern Arizona Urgent Care, LLC | Clinic/Center | 1040 S. Harrison Rd, Ste. 120, Tucson, AZ 85748 | 2017-10-05 |
| 1730609652 | Kathleen R Hizer | Social Worker | 2051 S Calle Mesa Del Oso, Tucson, AZ 85748 | 2017-06-21 |
| 1629453170 | Augustin Igulu Lukwango | Contractor | 994 S Harrison Road, Tucson, AZ 85748 | 2015-07-27 |
| 1588051353 | Cheol M. Choi | Dentist | 9565 E 22nd St Ste 143, Tucson, AZ 85748 | 2015-04-20 |
| 1295168722 | Sandra Lee Chmiel | Veterinarian | 9855 E Speedway Blvd, Unit 12103, Tucson, AZ 85748 | 2013-08-20 |
| 1134420649 | Leslie Cicalese | Pharmacist | 1145 South Harrison Rd, Tucson, AZ 85748 | 2010-11-15 |
| 1760711923 | Enrique Romero | Specialist/Technologist, Other | 10339 E Cowhead Saddle Ln, Tucson, AZ 85748 | 2009-12-17 |
| 1437348349 | Audrey Wolfel | Nurse Practitioner | 10315 Broadway Boulevard, Tucson, AZ 85748 | 2007-10-16 |
| Find all providers in zip 85748 | ||||
| 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 | ||||
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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.