Tucson Tooth Town Dentistry 4 Kids PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

TUCSON TOOTH TOWN DENTISTRY 4 KIDS PLLC

Practice address

8567 N Silverbell Rd
Tucson, AZ 85743-7110

Phone

(208) 680-0186

NPI assigned

May 28, 2021

Last updated

Jun 11, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nataly Penuelas

Title

Office Manager

Phone

(208) 680-0186

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1622160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623369600000",
    "number": "1174199301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13471 N TRAILING INDIGO CT",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857556040",
            "telephone_number": "208-680-0186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8567 N SILVERBELL RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857437110",
            "telephone_number": "208-680-0186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUCSON TOOTH TOWN DENTISTRY 4 KIDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-28",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A",
        "authorized_official_last_name": "PENUELAS",
        "authorized_official_first_name": "NATALY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "208-680-0186"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Dentistry in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Pediatric Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; 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.