SOUTHWEST KIDS DENTISTRY PLLC (NPI# 1740673268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740673268 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST KIDS DENTISTRY PLLC |
| Practice Address |
6970 N Oracle Rd Suite 110 Tucson AZ 85704-4237 |
| Mailing Address |
Po Box 35308 Tucson AZ 85740-5308 |
| Practice Telephone | 5207751245 |
| Practice Fax Number | 5207751246 |
| Mailing Telephone | 5419612618 |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2015-06-03 |
| Authorized Official Name | KYLA HOLLEN (OWNER) |
| Authorized Official Telephone | 5207751245 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
D008688 | AZ | Dental Providers |
| Street Address |
6970 N ORACLE RD SUITE 110 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85704-4237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164416913 | Michael Jeffrey Lee | Physical Therapist | 6970 N Oracle Rd, Suite 130, Tucson, AZ 85704-4237 | 2005-09-08 |
| 1710350988 | Kayla Fribbs Rystrom | Physical Therapist | 6970 N Oracle Rd, Suite 130, Tucson, AZ 85704-4237 | 2015-11-10 |
| 1669746269 | Robert Ellis | Occupational Therapist | 6970 N Oracle Rd, Suite 130, Tucson, AZ 85704-4237 | 2012-02-28 |
| 1235409962 | Vanessa Morton | Physical Therapist | 6970 N Oracle Rd, Suite 130, Tucson, AZ 85704-4237 | 2012-01-11 |
| 1225306806 | Kira M Doll | Physical Therapist | 6970 N Oracle Rd, Suite 130, Tucson, AZ 85704-4237 | 2011-12-09 |
| 1700190626 | Kyla Nicole Hollen | Dentist | 6970 N Oracle Rd, Suite 110, Tucson, AZ 85704-4237 | 2010-08-03 |
| 1700033891 | Amy J Taormina | Physical Therapist | 6970 N Oracle Rd, Suite 130, Tucson, AZ 85704-4237 | 2008-08-20 |
| 1538183975 | Maximum Impact Physical Therapy Services, LLC | Physical Therapist | 6970 N Oracle Rd, Suite 130, Tucson, AZ 85704-4237 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578176616 | Kimberly Nehls Remblake | Pharmacist | 6488 N Oracle Road, Tuson, AZ 85704 | 2020-08-28 |
| 1114562311 | Sarah Laing | Music Therapist | 314 E Cambridge Drive, Tucson, AZ 85704 | 2019-11-12 |
| 1750876587 | Stephanie Ann Schmid | Nurse Practitioner | 1631 W Ina Rd, Tucson, AZ 85704 | 2018-06-25 |
| 1619468063 | Barnet Dulaney Perkins Eye Center II Pllc | Durable Medical Equipment & Medical Supplies | 10195 N Oracle Rd Ste 125, Oro Valley, AZ 85704 | 2018-05-22 |
| 1639682073 | Tucson Family and Geriatric Medicine LLC | Clinic/Center | 6867 N Oracle Rd Ste 157, Tucson, AZ 85704 | 2017-11-07 |
| 1215448790 | Janelle K Borg | Physical Therapist | 7530 N Oracle Rd Ste 100, Tucson, AZ 85704 | 2017-10-23 |
| 1982122396 | Wellbeing Institute | Pathology | 6879 N. Oracle Road, Suite 125, Tucson, AZ 85704 | 2017-09-06 |
| 1245777481 | Sonora Behavioral Health Hospital, LLC | Clinic/Center | 2001 West Orange Grove Road, Suite 114, 112, 102, Tucson, AZ 85704 | 2017-01-26 |
| 1902252752 | Conrad Drinkwater | Dentist | 9000 N Oracle Rd Ste B, Oro Valley, AZ 85704 | 2016-05-11 |
| 1912375668 | Adrianna Rodriguez | Pharmacist | 4701 N. Stone Ave, Tucson, AZ 85704 | 2015-09-11 |
| Find all providers in zip 85704 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407395189 | Stratman Kids Dentistry | Dentist | 801 N Wilmot Rd Ste D2, Tucson, AZ 85711-1715 | 2017-02-15 |
| 1588051353 | Cheol M. Choi | Dentist | 9565 E 22nd St Ste 143, Tucson, AZ 85748 | 2015-04-20 |
| 1679828297 | Tucson Smiles Pediatric Dentistry As Swan | Dentist | 2810 N Swan Rd Ste 140, Tucson, AZ 85712-6300 | 2012-07-19 |
| 1326359225 | John Henry Mclin | Dentist | 9565 E 22nd St, Suite 143, Tucson, AZ 85748-7500 | 2010-06-24 |
| 1508190968 | Hishaw & Abramian Pllc | Dentist | 8255 S Houghton Rd, Suite 101, Tucson, AZ 85747-9721 | 2009-10-01 |
| 1659527653 | Northwest Children's Dentistry PC | Dentist | 7610 N La Cholla Blvd, Tucson, AZ 85741-4201 | 2008-08-11 |
| 1225242910 | Tucson Smiles Pediatric Dentistry At La Cholla, Pllc | Dentist | 5920 N La Cholla Blvd Ste 110, Tucson, AZ 85741-3693 | 2007-05-10 |
| 1568531002 | Angela M Wolfman | Dentist | 3953 E Paradise Falls Dr, Suite 110, Tucson, AZ 85712-6688 | 2006-11-07 |
| 1912095134 | Charles A Davis | Dentist | 716 N Country Club Rd, Tucson, AZ 85716-4506 | 2006-10-11 |
| 1013012228 | Katherine Tudor Cotton | Dentist | 10036 N Blue Crossing Way, Tucson, AZ 85743-5211 | 2006-09-13 |
| 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.