Aeris Dental Downtown LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

AERIS DENTAL DOWNTOWN LLC

Practice address

1 E Congress St Ste 153
Tucson, AZ 85701-1726

Phone

(520) 448-4477

NPI assigned

Dec 15, 2022

Last updated

Dec 15, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

AERIS FAMILY DENTAL MANAGEMENT PLLCAs reported in NPPES

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

Authorized official

Name

Lan Allen, DMDNPI 1205975299

Title

Manager

Phone

(520) 886-8503

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Lan Allen, D.M.D

  • General Practice Dentistry
  • Tucson, AZ
  • NPI 1205975299
  NPD Authorized official

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

{
    "created_epoch": "1671062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671062400000",
    "number": "1114639648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 N PANTANO RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857155126",
            "telephone_number": "520-886-8503",
            "fax_number": "520-885-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E CONGRESS ST STE 153",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857011726",
            "telephone_number": "520-448-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AERIS DENTAL DOWNTOWN LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AERIS FAMILY DENTAL MANAGEMENT PLLC",
        "enumeration_date": "2022-12-15",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "LAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "520-886-8503",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Tucson, AZ
• Providers in Tucson, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; 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.