Dedicated Dental Service

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2061 Issued in AZ

Legal business name

DEDICATED DENTAL SERVICE

Practice address

4001 S Mission Rd
801 N. Wilmot Road Ste a-2
Tucson, AZ 85746-4010

Phone

(520) 320-5500

Fax

(520) 320-5502

NPI assigned

Apr 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Manuel C Bedoya, DMDNPI 1326183302

Title

Dentist

Phone

(520) 320-5500

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Manuel Camacho Bedoya, DMD

  • Dentist
  • Tucson, AZ
  • NPI 1326183302
  NPD (past) Authorized official
• Daniel Rosales, DMD

  • Dentist
  • Tucson, AZ
  • NPI 1801930003
  NPD (past)

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205056983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3773 E BROADWAY BLVD",
            "address_2": "P.O. BOX 26586",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857165409",
            "telephone_number": "520-320-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 S MISSION RD",
            "address_2": "801 N. WILMOT ROAD STE A-2",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857464010",
            "telephone_number": "520-320-5500",
            "fax_number": "520-320-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEDICATED DENTAL SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEDOYA",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "520-320-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "2061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaiya Decker
• Parisa Joie Nazifi Decker, PTA
• Scott Howard Decker, PT
• Jamie Deckoff-Jones, M.D.
• Dona Dee Declusin, OTRL
• Catherine Dee, O.D.
• Andrew E. Deeb, D.M.D., M.S.
• Fadi Deeb, MD
• Margaret Deebom
• Britt Marie Deegan, N.D.

• 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 Aug 22, 2020; 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.