DR. GEOFFREY CORNELL KOELLING (NPI# 1689746232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689746232 |
| Entity Type | Individual |
| Full Name | DR. GEOFFREY CORNELL KOELLING |
| Credential | DMD |
| Practice Address |
2102 N Country Club Rd Suite A Tucson AZ 85716-2831 |
| Mailing Address |
7170 W Camino San Xavier Ste C109 Glendale AZ 85308-0862 |
| Practice Telephone | 5203231400 |
| Mailing Telephone | 6232829959 |
| Mailing Fax Number | 6024298200 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2019-08-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
09846 | NC | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D05019 | AZ | Dental Providers |
| Street Address |
2102 N COUNTRY CLUB RD SUITE A |
| City | TUCSON |
| State | AZ |
| Zip Code | 85716-2831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295721413 | James S Evans | Internal Medicine | 2102 N Country Club Rd, Ste 3, Tucson, AZ 85716-2831 | 2005-09-22 |
| 1649728817 | Sarai Ramirez | Dental Hygienist | 2102 N Country Club Rd, Tucson, AZ 85716-2831 | 2016-09-16 |
| 1437519212 | Therese Marie Velde | Audiologist | 2102 N Country Club Rd, Bldg 12, Tucson, AZ 85716-2831 | 2016-03-07 |
| 1912287103 | Amy Shah | Dentist | 2102 N Country Club Rd, Tucson, AZ 85716-2831 | 2011-08-19 |
| 1033390711 | Jennifer Vyas | Dentist | 2102 N Country Club Rd, Ste. A, Tucson, AZ 85716-2831 | 2007-11-21 |
| 1770774051 | Julie A Smith | Audiologist-Hearing Aid Fitter | 2102 N Country Club Rd, Suite 12, Tucson, AZ 85716-2831 | 2007-08-05 |
| 1790907004 | General Dentistry 4 Kids-tucson | Dentist | 2102 N Country Club Rd, Ste A, Tucson, AZ 85716-2831 | 2007-05-03 |
| 1366576944 | Hector Jf Barillas Phd PC | Clinic/Center | 2102 N Country Club Rd, Suite 4, Tucson, AZ 85716-2831 | 2007-03-15 |
| 1518091107 | Teresa Longoria Md LLC | Clinic/Center | 2102 N Country Club Rd, Suite 4, Tucson, AZ 85716-2831 | 2007-03-15 |
| 1225139850 | Hector J. Fernandez Barillas | Psychologist | 2102 N Country Club Rd, Suite 4, Tucson, AZ 85716-2831 | 2006-09-26 |
| Find all providers in the same location | ||||
| 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 | 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.