Civano Dental Care PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

4821 Issued in AZ

Legal business name

CIVANO DENTAL CARE PC

Practice address

10501 E Seven Generations Way
155
Tucson, AZ 85747-5828

Phone

(520) 838-0302

Fax

(520) 838-0982

NPI assigned

Feb 13, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Charles E Pick, D.D.S.

Title

Director

Phone

(529) 838-0302

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1392249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392249600000",
    "number": "1023432820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10501 E SEVEN GENERATIONS WAY",
            "address_2": "155",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857475828",
            "telephone_number": "520-838-0302",
            "fax_number": "520-838-0982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10501 E SEVEN GENERATIONS WAY",
            "address_2": "155",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857475828",
            "telephone_number": "520-838-0302",
            "fax_number": "520-838-0982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIVANO DENTAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-13",
        "last_updated": "2014-02-13",
        "status": "A",
        "authorized_official_last_name": "PICK",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "529-838-0302",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AZ",
            "license": "4821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillip Dennis Citron, MD
• City Acupuncture
• City of Tucson
• Jacqueline Marie Ciufo
• Anthony Ciurro
• Civano Speech & Language PLLC
• Aspyn Marie Hope Civil
• Civitas Corporation, Inc
• CJ Heileman & Associates LLC
• CJ Surgical Assisting

• Dental Clinic/Center in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.