BG Dental Incorporated

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

7359 Issued in AZ

Legal business name

BG DENTAL INCORPORATED

Practice address

5255 E Knight Dr
Tucson, AZ 85712-2147

Phone

(520) 881-6767

Fax

(520) 881-6767

NPI assigned

Dec 14, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Brian Glen Mitchell, D.D.S.

Title

Dentist

Phone

(520) 881-6767

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.

• John Davidson Doerr, DDS

  • General Practice Dentistry
  • Tucson, AZ
  • NPI 1487664462
  NPD (past)

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

{
    "created_epoch": "1481673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487721600000",
    "number": "1356885073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5255 E KNIGHT DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122147",
            "telephone_number": "520-881-6767",
            "fax_number": "520-881-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5255 E KNIGHT DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122147",
            "telephone_number": "520-881-6767",
            "fax_number": "520-881-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BG DENTAL INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-14",
        "last_updated": "2017-02-22",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "GLEN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "520-881-6767",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "AZ",
            "license": "7359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Bevevino, M.D.
• Judy Leann Bevier, SLP
• Codye Beyer, RBT
• Jacquelyne R Beyer
• Melissa Badar Beyfuss, CRNA
• Bhagalpur Internal Medicine PLLC
• Camilla Bhagwan
• Jeet Bhaidasna, DO
• Krupa Bhakta
• Priyaben Tarunkumar Bhakta, MD

• Prosthetic/Orthotic Supplier in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Prosthetic/Orthotic Supplier in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; 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.