Tooth Town Dentistry 4 Kids

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

TOOTH TOWN DENTISTRY 4 KIDS

Practice address

15990 S Rancho Sahuarita Blvd Ste 110
Sahuarita, AZ 85629-8022

Phone

(520) 363-4774

NPI assigned

Jun 11, 2021

Organization subpart

No

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

Authorized official

Name

Nataly Penuelas

Title

Office Manager

Phone

(208) 680-0186

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Richard Cattron, DMD

  • Pediatric Dentistry
  • Sahuarita, AZ
  • NPI 1457813487
  NPD
• Andrew R Stucki, DMD

  • General Practice Dentistry
  • Pocatello, ID
  • NPI 1992226641
  NPD
• Nikki Dejbod, DDS

  • Pediatric Dentistry
  • Tucson, AZ
  • NPI 1902183916
  NPD (past)

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

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623369600000",
    "number": "1376111997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13471 N TRAILING INDIGO CT",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857556040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15990 S RANCHO SAHUARITA BLVD STE 110",
            "city": "SAHUARITA",
            "state": "AZ",
            "postal_code": "856298022",
            "telephone_number": "520-363-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOOTH TOWN DENTISTRY 4 KIDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-11",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A",
        "authorized_official_last_name": "PENUELAS",
        "authorized_official_first_name": "NATALY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "208-680-0186"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Amber Troester, LMT
• Diane Esther Trotter, FNP
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• Pediatric Dentistry in Sahuarita, AZ
• Providers in Sahuarita, AZ by specialty
• Pediatric Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.