Acosta Smile

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D5235 Issued in AZ

Legal business name

ACOSTA SMILE

Practice address

4323 E 5TH St
Suite a
Tucson, AZ 85711-2088

Phone

(520) 889-6622

NPI assigned

Apr 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. David Dejesus Acosta, D.D.S.

Title

General Dentist

Phone

(520) 889-6622

Specialties & licenses 1

Addresses

Other names 1

• Acosta Smile, LTD Former legal business name

Locations

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225150261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S BONANZA AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857486789",
            "telephone_number": "520-870-5957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4323 E 5TH ST",
            "address_2": "SUITE A",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112088",
            "telephone_number": "520-889-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACOSTA SMILE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "DEJESUS",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "520-889-6622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D5235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Acosta Smile, LTD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jane Ellen Ackerley, DNP
• Mary Beth Ackerley
• Stephane Christian Ackermann, LPC
• Tamilyn A Ackerson
• Don Acomb, DDS
• Belinda Jaquez Acosta, FNP
• Celinda Jonet Acosta, CCC-SLP
• Christine Acosta, LAC
• Christopher Acosta
• Frank Thomas Acosta

• 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.