NPIMap

Organization Active NPI

Associated Dental Care Providers, LLC

Doing business as Associated Dental Care Tucson - Campbell

  • General Practice Dentistry
  • Tucson, AZ
National Provider Identifier
1114053725
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ASSOCIATED DENTAL CARE PROVIDERS, LLC
Doing business as
Associated Dental Care Tucson - Campbell
Practice address
3250 N Campbell Ave Ste 116
Tucson, AZ 85719-2381
Phone
(520) 881-8995
Fax
(520) 881-7188
NPI assigned
Feb 26, 2007
Last updated
Sep 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Authorized official

Name
Hannah Fish
Title
Credentialing Manager
Phone
(217) 540-5699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

3250 N Campbell Ave Ste 116
Tucson, AZ 85719-2381

Mailing address

3250 N Campbell Ave Ste 116
Tucson, AZ 85719-2381
Phone (520) 881-8995

Other names 1

  • Associated Dental Care Tucson - Campbell Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Associated Dental Care Providers LLC13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3250 N Campbell Ave
Ste 116
Tucson, AZ 85719
Phone (520) 881-8995

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1114053725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 N CAMPBELL AVE STE 116",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857192381",
            "telephone_number": "520-881-8995",
            "fax_number": "520-881-7188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 N CAMPBELL AVE STE 116",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857192381",
            "telephone_number": "520-881-8995",
            "fax_number": "520-881-7188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED DENTAL CARE PROVIDERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "FISH",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "217-540-5699"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Associated Dental Care Tucson - Campbell",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.