AURORA DENTAL GROUP LLC (NPI# 1801314810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801314810 |
| Entity Type | Organization |
| Organization Name | AURORA DENTAL GROUP LLC |
| Practice Address |
63675 E Saddlebrooke Blvd Ste M Tucson AZ 85739-1297 |
| Practice Telephone | (520) 818-6732 |
| Practice Fax Number | 5208187824 |
| Mailing Telephone | 5208186732 |
| Mailing Fax Number | 5208187824 |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2019-08-12 |
| Authorized Official Name | LARRY WHEELER (OWNER) |
| Authorized Official Telephone | 5209791979 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | Dental Providers | ||
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities | ||
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Dentistry by Design | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881026854 | Aurora Dental Group LLC | Preferred Provider Organization | 1344 S Chambers Rd Ste 201, Aurora, CO 80017-4096 | 2013-08-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Aurora Dental Group LLC | 724 Peoria Street, Aurora, CO 80011 |
| Street Address |
63675 E SADDLEBROOKE BLVD STE M |
| City | TUCSON |
| State | AZ |
| Zip Code | 85739-1297 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215276811 | Kari Miller | Respite Care | 48415 E Eaglenest Trail, Tucson, AZ 85739 | 2013-02-04 |
| 1073757670 | Diversified Pharmacy Solutions, LLC | Pharmacy | 63717 E Saddle Brooke Blvd, # 1, Tucson, AZ 85739 | 2009-04-27 |
| 1134308596 | Desert Palms Physical Therapy- Catalina PC | Physical Therapist | 15631 N Oracle Road, Suite 111, Tucson, AZ 85739 | 2007-11-01 |
| 1184784589 | Barbara Marie Mautner | Counselor | 37632 S. Mashie Dr., Tucson, AZ 85739 | 2006-12-08 |
| 1972614089 | W & W Rehab Services,l.l.c. | Physical Therapist | 15969 N. Oracle Rd., 171, Tucson, AZ 85739 | 2006-08-31 |
| 1750318036 | Daniel E Eggleston | Radiology | 38339 S Granite Crest, Tucson, AZ 85739 | 2006-06-26 |
| 1801377601 | Willard Dean Lynch | Nurse Practitioner | 39580 S Lago Del Oro Pkwy, Tucson, AZ 85739 | 2018-08-28 |
| 1699811588 | Joel Moncivaiz | Family Medicine | 63701 E Saddlebrooke Blvd, Ste F, Tucson, AZ 85739 | 2007-01-29 |
| 1770688988 | Korey Lynn Toensing | Chiropractor | 15601 N Oracle Rd, Catalina, AZ 85739 | 2006-09-13 |
| 1720044423 | Patrick B Shaffer | Dentist | 16701 N Oracle Rd, Suite 151, Tucson, AZ 85739 | 2006-04-22 |
| Find all providers in zip 85739 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194110866 | Negin Saghafi | Dentist | 7455 E. Tanque Verde Road, Tucson, AZ 85715 | 2015-03-31 |
| 1891105532 | Clearchoice Dental Implants | Dentist | 5570 W Flying W St, Tucson, AZ 85713-4427 | 2014-05-03 |
| 1598093288 | Caroline M. Kacer | Dentist | 6471 N. La Cholla Blvd, 101, Tucson, AZ 85741 | 2009-11-18 |
| 1457586190 | Bryan Alan White | Dentist | 9660 E 22nd St Ste 160, Tucson, AZ 85748-7562 | 2009-05-26 |
| 1821260951 | Michael H Grousd | Dentist | 1360 W Irvington Rd Ste 180, Tucson, AZ 85746-4102 | 2008-03-28 |
| 1295899037 | Eugene Toone | Dentist | 7455 E Tanque Verde Rd, Tucson, AZ 85715-3477 | 2006-12-19 |
| 1063501971 | Timothy Michael Gomez | Dentist | 6471 N La Cholla Blvd, Tucson, AZ 85741-3141 | 2006-10-11 |
| 1477599827 | Stephen Harkins | Dentist | 4781 E Camp Lowell Drive, Ste 101, Tucson, AZ 85712-1256 | 2006-06-22 |
| 1114979523 | Stephen Allen Denbrock | Dentist | 6700 N Oracle Rd, Suite 238, Tucson, AZ 85704-7732 | 2006-05-16 |
| 1609474923 | Oralsurgerypros, LLC | Dentist | 225 E Valencia Rd Ste 135, Tucson, AZ 85706-6866 | 2020-10-09 |
| 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.