PRESIDIO DENTAL PLLC (NPI# 1235308834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235308834 |
| Entity Type | Organization |
| Organization Name | PRESIDIO DENTAL PLLC |
| Practice Address |
8740 Thornydale Road Suite 100 Tucson AZ 85742 |
| Mailing Address |
6600 N Paseo De Angel Tucson AZ 85741-3053 |
| Practice Telephone | 5207447388 |
| Practice Fax Number | 5207447395 |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2008-02-27 |
| Authorized Official Name | DR. JESSE CLAYTON ENGLE (DENTIST) |
| Authorized Official Telephone | 5202456328 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
6870 | AZ | Dental Providers |
| Street Address |
8740 THORNYDALE ROAD SUITE 100 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750889820 | Oro Valley Hospital LLC | Clinic/Center | 6350 W Marana Center Blvd, Tucson, AZ 85742 | 2018-01-24 |
| 1962913210 | Patti Sue Speck | Speech-Language Pathologist | Wilson K-8 School, 2330 W. Glover Rd, Tucson, AZ 85742 | 2017-10-13 |
| 1265664312 | Orthomed, LLC | Physical Therapist | 8770 N. Thornydale Rd, Suite 100, Tucson, AZ 85742 | 2009-08-21 |
| 1356582688 | Christian Peters D.o.p.c. | General Practice | 6070 W. Desert Marigold Ln, Tucson, AZ 85742 | 2009-03-17 |
| 1700907961 | Rachel E Lohrman | Technician | 3085 W Country Hill Dr, Tucson, AZ 85742 | 2007-04-03 |
| 1386765188 | Adena B. Lees | Social Worker | 2292 West Magee Rd., Suite 260, Tucson, AZ 85742 | 2007-04-02 |
| 1548303563 | Jimmy Dale Stout | Specialist | 8960 N Agate Place, Tucson, AZ 85742 | 2007-02-15 |
| 1386700441 | Loretta Rose Kramer | Counselor | 10455 N Gila Rd, Tucson, AZ 85742 | 2006-12-30 |
| 1164580189 | Larry Alan Shipley | Chiropractor | 2292 W Magee Rd Suite 170, Shipley Chiropractic, Tucson, AZ 85742 | 2006-12-04 |
| 1720177348 | La Frontera Center, Inc. | Psychiatric Residential Treatment Facility | 10845 N. Thornydale Road, Tucson, AZ 85742 | 2006-10-12 |
| Find all providers in zip 85742 | ||||
| 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.