Orange Dmso, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ORANGE DMSO, LLC

Doing business as

Wellness Dental

Practice address

2165 W Orange Grove Rd
Tucson, AZ 85741-3118

Phone

(520) 800-0333

NPI assigned

Apr 29, 2021

Last updated

Apr 29, 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

Severn Bizzaro

Title

Manager

Phone

(702) 937-4356

Specialties & licenses 1

Addresses

Other names 1

• Wellness Dental Doing business as

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619654400000",
    "number": "1184207912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2165 W ORANGE GROVE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857413118",
            "telephone_number": "520-800-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2165 W ORANGE GROVE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857413118",
            "telephone_number": "520-800-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE DMSO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-29",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A",
        "authorized_official_last_name": "BIZZARO",
        "authorized_official_first_name": "SEVERN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-937-4356"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Oracle Surgery Center LLC
• Orale Management Group LLC (Nurse Next Door Tucson)
• Oralsurgerypros, LLC
• Carli Alyssa Orcutt, PA-C
• Megan Anne Orcutt, PSYD
• Elizabeth Ordaz-Valenzuela, CBE
• Ramiro Ordaz III
• Jaqueline A Oregel, RN

• 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 Apr 29, 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.