General Dentistry 4 Kids-Kolb PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D4964 Issued in AZ

Legal business name

GENERAL DENTISTRY 4 KIDS-KOLB PLLC

Practice address

5861 N Oracle Rd
Tucson, AZ 85704-3813

Phone

(520) 209-1608

NPI assigned

Oct 14, 2016

Organization subpart

No

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

Authorized official

Name

Brad Roberts, DMD

Title

Owner

Phone

(480) 607-9999

Specialties & licenses 1

Addresses

Tax ID family

General Dentistry 4 Kids2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• General Dentistry 4 Kids-Kolb PLLC

  • General Practice Dentistry
  • Tucson, AZ
  • NPI 1629226857
  NPD tax ID

Locations

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476403200000",
    "number": "1164973111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 W PRINCE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857053014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5861 N ORACLE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857043813",
            "telephone_number": "520-209-1608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERAL DENTISTRY 4 KIDS-KOLB PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-14",
        "last_updated": "2016-10-14",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-607-9999",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D4964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy John Gelety, M.D.
• McKenzie Gelfund, M. ED., BCBA
• Julee Gell, LCSW
• Camelia Gembala, FNP-C
• Melissa Ashley Genczo, CRNA
• General Dentistry 4 Kids-Kolb PLLC
• General Dentistry 4 Kids-Tucson, PLLC
• General Dentistry 4 Kids-Valencia PLLC
• General Dentistry for Kids LLC
• Generations Healthcare for Women PLLC

• 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 Oct 14, 2016; 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.