DR. KRISTIE LYNN PARTIN-AGARWAL (NPI# 1346629052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346629052 |
| Entity Type | Individual |
| Full Name | DR. KRISTIE LYNN PARTIN-AGARWAL |
| Credential | DMD |
| Practice Address |
355th Medical Group 4175 S. Alamo Ave Tucson AZ 85707 |
| Mailing Address |
5525 Mansions Blfs Apt #716 San Antonio TX 78245-4101 |
| Practice Telephone | 5202282650 |
| Mailing Telephone | 3602925887 |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2019-11-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 9379316-9922 | UT | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2133 Pepperrell St, Building 3352, Jbsa Lackland, TX 782365313 | 2102926258 | 2102922618 |
| Street Address |
355TH MEDICAL GROUP 4175 S. ALAMO AVE |
| City | TUCSON |
| State | AZ |
| Zip Code | 85707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366438962 | David Michael Dennison | Dentist | 355th Medical Group, 4175 S. Alamo Ave, Tucson, AZ 85707-4406 | 2005-09-20 |
| 1538545587 | Cristel Alcocer | Psychologist | 355th Medical Group, 4175 S. Alamo Ave., Tucson, AZ 85707-4405 | 2015-07-31 |
| 1932475845 | Jonathan Baxter | Military Health Care Provider | 355th Medical Group, 4175 S Alamo Ave, Tucson, AZ 85707 | 2012-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699128850 | Megan Dehaven | Specialist/Technologist | 5455 E Comanche St, Tucson, AZ 85707 | 2016-07-22 |
| 1780927954 | Ryan N Taylor | Physician Assistant | 400, 4175 S Alamo Ave, Davis-monthan Afb, AZ 85707 | 2013-04-05 |
| 1154658839 | Alisha A Marchetti | Physician Assistant | 4175 S. Alamo Avenue, 355th Mdg/mdos, Davis-monthan Afb, AZ 85707 | 2009-11-17 |
| 1851529192 | Christopher Thomas Yarbrough | Military Health Care Provider | 4625 South Phoenix Street Bldg 4843, Tucson, AZ 85707 | 2009-06-25 |
| 1144457045 | Denise Fabian | Psychiatry & Neurology | 5427 E. Madera Street, Davis Monthan Afb, AZ 85707 | 2009-06-17 |
| 1942437447 | Emerson M Earle | Military Health Care Provider | 4625 S. Phoenix St, Bld 4843, Tucson, AZ 85707 | 2009-06-11 |
| 1164657136 | Raul Romero | Military Health Care Provider | 4575 S. Phoenix St. 563rd Oss, Dmafb, AZ 85707 | 2009-05-20 |
| 1063647196 | Virginia E. Bailey | Military Health Care Provider | 4837 S Phoenix St., Rm 119 Davis-monthan Air Force Base, Tucson, AZ 85707 | 2009-05-19 |
| 1043417611 | Jacob Riis | Orthopaedic Surgery | 355 Mdg, 4175 South Alamo Ave, Tucson, AZ 85707 | 2007-06-28 |
| 1508989732 | Christopher E. Dunham | Physician Assistant | 4175 S. Alamo Ave Bldg 400, 355th Medical Group-davis Monthan Afb, Tucson, AZ 85707 | 2007-04-10 |
| Find all providers in zip 85707 | ||||
| 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 |
| 1760956189 | Southern Dental Specialties of Tucson | Dentist | 1601 N Tucson Blvd Ste 12c, Tucson, AZ 85716-3405 | 2019-01-18 |
| 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 |
| 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.