Presidio Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6870 Issued in AZ

Legal business name

PRESIDIO DENTAL PLLC

Practice address

8740 Thornydale Road
Suite 100
Tucson, AZ 85742

Phone

(520) 744-7388

Fax

(520) 744-7395

NPI assigned

Feb 27, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jesse Clayton Engle, D.M.D.NPI 1053379743

Title

Dentist

Phone

(520) 245-6328

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jesse C. Engle, DMD

  • General Practice Dentistry
  • Tucson, AZ
  • NPI 1053379743
  NPD (past) Authorized official

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1235308834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 N PASEO DE ANGEL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857413053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8740 THORNYDALE ROAD",
            "address_2": "SUITE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85742",
            "telephone_number": "520-744-7388",
            "fax_number": "520-744-7395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESIDIO DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "ENGLE",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "CLAYTON",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "520-245-6328",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "6870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Transport Services LLC
• Premier Wound RX LLC
• Premise Health of Arizona Medical PC
• Present Hope Therapy
• Presidio Counseling Incorporated
• Presidio Health Associates LLC
• Presidio Surgical Group, P.C.
• Danielle Nicole Pressler, LMT
• Prestige Devotion Hospice LLC
• Prestige Health Staffing LLC

• 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 Feb 27, 2008; 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.