FAMILY DENTAL GROUP (NPI# 1932478542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932478542 |
| Entity Type | Organization |
| Organization Name | FAMILY DENTAL GROUP |
| Practice Address |
5170 E Glenn St Suite 170 Tucson AZ 85712-1396 |
| Mailing Address |
5170 E. Glenn Street Suite 170 Tucson AZ 85712 |
| Practice Telephone | 5203209004 |
| Practice Fax Number | 5203253726 |
| Mailing Telephone | 5203209004 |
| Mailing Fax Number | 5203253726 |
| Enumeration Date | 2011-12-28 |
| Last Update Date | 2011-12-28 |
| Authorized Official Name | TUAN-ANH MINH NGUYEN (DENTISTI/CO-OWNER) |
| Authorized Official Telephone | 5203209004 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D5614 | AZ | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043228976 | Family Dental Group | Dentist | 276 Turnpike Rd, Suite 226, Westboro, MA 01581 | 2006-08-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | FAMILY DENTAL GROUP | 123 Se Douglas St, Newport, OR 97365 |
| Connecticut Business Registrations | Family Dental Group of Fairfield, LLC | 320 Kings Hwy. E, Fairfield, CT 06825 |
| Connecticut Business Registrations | Family Dental Group, P.C. | 171 E. Main St, Waterbury, CT 06702 |
| Connecticut Business Registrations | FAMILY DENTAL GROUP-BLACK ROCK, LLC | 320 Kings Highway East, Fairfield, CT 06825 |
| Connecticut Business Registrations | FAMILY DENTAL GROUP-FAIRFIELD, LLC | 320 Kings Highway East, Fairfield, CT 06825 |
| Connecticut Business Registrations | FAMILY DENTAL GROUP-MILFORD, LLC | 59 Turnpike Square, Milford, CT 06460 |
| Street Address |
5170 E GLENN ST SUITE 170 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85712-1396 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427079987 | Timothy M Marshall | Internal Medicine | 5170 E Glenn St, Bldg 2, Ste. 160, Tucson, AZ 85712-1337 | 2006-07-21 |
| 1972960136 | Jenna Edwards | Nurse Practitioner | 5170 E Glenn St, Building 2 Suite 160, Tucson, AZ 85712-1396 | 2016-01-19 |
| 1366798159 | Rao Plastic Surgery PC | Plastic Surgery | 5170 E Glenn St, Suite 100, Tucson, AZ 85712-7301 | 2012-07-30 |
| 1093998270 | Obstetrix Medical Group of Arizona | Obstetrics & Gynecology | 5170 E Glenn St, Suite 100, Tucson, AZ 85712-1396 | 2007-12-11 |
| 1417150624 | Arun Jay Rao | Surgery | 5170 E Glenn St, Suite 100, Tucson, AZ 85712-1396 | 2007-06-06 |
| 1447310586 | Binh Bao Tran | Dentist | 5170 E Glenn St, Suite #170, Tucson, AZ 85712 | 2006-12-11 |
| 1689754749 | Timothy M Marshall Md PC | Internal Medicine | 5170 E Glenn St, Bldg 2, Suite 160, Tucson, AZ 85712-1396 | 2006-10-16 |
| 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 | 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.