TUCSON DENTAL IMPLANTS AND PERIODONTICS PLLC (NPI# 1609243955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609243955 |
| Entity Type | Organization |
| Organization Name | TUCSON DENTAL IMPLANTS AND PERIODONTICS PLLC |
| Practice Address |
2330 N Rosemont Blvd Tucson AZ 85712-2163 |
| Mailing Address |
4381 N Sunset Cliff Dr Tucson AZ 85750-6934 |
| Practice Telephone | 3106666438 |
| Mailing Telephone | 3106666438 |
| Enumeration Date | 2015-08-21 |
| Last Update Date | 2015-08-21 |
| Authorized Official Name | DR. CLARK MACKELPRANG (MEMBER) |
| Authorized Official Telephone | 3106666438 |
| Authorized Official Credential | D.D.S., M.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
D009229 | AZ | Ambulatory Health Care Facilities |
| Street Address |
2330 N ROSEMONT BLVD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85712-2163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780679878 | Edward Daniel Gall IIi | Dentist | 2330 N Rosemont Blvd, Suite A, Tucson, AZ 85712-2163 | 2005-09-14 |
| 1902102874 | Pimienta Medical Diagnostics Clinic Plc | Internal Medicine | 2330 N Rosemont Blvd, Suite #b, Tucson, AZ 85712-2163 | 2011-02-09 |
| 1720280258 | Clyde M. Robinson D.d.s.,m.sc.d., P.C. | Dentist | 2330 N Rosemont Blvd, #a, Tucson, AZ 85712-2163 | 2007-06-05 |
| 1144271974 | Clyde M Robinson | Dentist | 2330 N Rosemont Blvd, #a, Tucson, AZ 85712-2163 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104950 | Nancy Rae Klug | Registered Nurse | 2380 N Ferguson Ave., Tucson, AZ 85712 | 2020-08-12 |
| 1013525534 | James Tutu Fiske I | Nurse Practitioner | 5700 E. Pima Street Suite C., Tucson, AZ 85712 | 2020-07-21 |
| 1063031953 | Mehera Tiffanie Hormuz | Student in an Organized Health Care Education/Training Program | 5301 E. Grant Rd., Tucson, AZ 85712 | 2020-04-10 |
| 1770133282 | Elizabeth Nadeschzda Lowell | Nurse Practitioner | 4881 E Grant Road, Suite 101, Tucson, AZ 85712 | 2019-09-17 |
| 1174185649 | Pisa Asc Holdco LLC | Clinic/Center | 4741 E Camp Lowell Drive, Tucson, AZ 85712 | 2019-07-03 |
| 1548821838 | Painted Sky Healthcare, Inc. | Hospice Care, Community Based | 2980 N Swan Rd Ste 222, Tucson, AZ 85712 | 2019-06-26 |
| 1558925644 | Helen Jane Lyall | Registered Nurse | Tucson Medical Centre, 5301 E Grant Road, Tucson, AZ 85712 | 2019-04-24 |
| 1760953541 | Anna Marissa Ramirez | Nurse Practitioner | 5170 E Glenn St Ste 160, Tucson, AZ 85712 | 2018-12-05 |
| 1407343841 | Imran Ata Md Pllc | Internal Medicine | 3925 E Fort Lowell Rd Ste 105, Tucson, AZ 85712 | 2018-04-20 |
| 1003322926 | Millennium Acupuncture | Acupuncturist | 6161 E Pima St Tucson Az 85712, Apt 2074, Tucson, AZ 85712 | 2017-12-15 |
| Find all providers in zip 85712 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689130650 | James F. Raymond Dmd Pllc | Clinic/Center | 3001 E Skyline Dr Ste 101, Tucson, AZ 85718-2144 | 2019-02-14 |
| 1134506116 | Mark Maklin Dmd | Clinic/Center | 2370 N Wyatt Dr Ste 110, Tucson, AZ 85712-2119 | 2015-04-29 |
| 1750607230 | Dan E Hornsby, D.d.s., P.c | Clinic/Center | 7402 N La Cholla Blvd, Tucson, AZ 85741 | 2010-04-09 |
| 1417954991 | Dental-net, Inc. | Clinic/Center | 1057 N Kolb Rd, Tucson, AZ 85710-1328 | 2005-06-30 |
| 1821621756 | J.j. Dental, Inc. | Clinic/Center | 4550 E Grant Rd, Tucson, AZ 85712-2617 | 2020-02-19 |
| 1306499017 | David Spalding Dds | Clinic/Center | 7518 N La Cholla Blvd, Tucson, AZ 85741-2307 | 2019-07-22 |
| 1245700616 | Ismile Cms | Clinic/Center | 4600 S Park Ave Ste 6, Tucson, AZ 85714-1697 | 2018-11-28 |
| 1285104877 | Tbd IIi, Pllc | Clinic/Center | 1802 E Prince Rd, Tucson, AZ 85719-1965 | 2018-11-27 |
| 1144729849 | Casas Adobes Dentistry, Pllc | Clinic/Center | 7477 N Oracle Rd, Tucson, AZ 85704-6306 | 2018-02-08 |
| 1043685357 | Ronald G Deriana Dds Pllc | Clinic/Center | 1607 W Ina Rd, Tucson, AZ 85704-1979 | 2015-12-11 |
| Find all providers in TUCSON | ||||
Please comment or provide details below to improve the information on TUCSON DENTAL IMPLANTS AND PERIODONTICS PLLC.
| 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.