Aeris Family Dental Pantano

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

AERIS FAMILY DENTAL PANTANO

Practice address

1160 N Pantano Rd
Tucson, AZ 85715-5126

Phone

(520) 886-8503

Fax

(520) 885-6660

NPI assigned

Dec 15, 2022

Last updated

Jan 31, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

AERIS FAMILY DENTAL MANAGEMENT PLLCAs reported in NPPES

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

Authorized official

Name

Lan Allen, DMDNPI 1205975299

Title

Manager

Phone

(520) 886-8503

Specialties & licenses 1

Addresses

Other names 2

• A. Lanoy Alston, DMD, PC Former legal business name
• LA Dental, PLLC Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lan Allen, D.M.D

  • General Practice Dentistry
  • Tucson, AZ
  • NPI 1205975299
  NPD Authorized official

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

{
    "created_epoch": "1671062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675123200000",
    "number": "1407568926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 N PANTANO RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857155126",
            "telephone_number": "520-886-8503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 N PANTANO RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857155126",
            "telephone_number": "520-886-8503",
            "fax_number": "520-885-6660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AERIS FAMILY DENTAL PANTANO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AERIS FAMILY DENTAL MANAGEMENT PLLC",
        "enumeration_date": "2022-12-15",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "LAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "520-886-8503",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A. Lanoy Alston, DMD, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "LA Dental, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Mary Ann Adzhari, FNP
• Aegis Group Practice LLC
• Aegis Zen Living LLC (Aegis Zen Living)
• Aep Health
• Aeris Dental Downtown LLC
• Aeris Family Dental Rita Ranch
• Aesthetic Surgery of Tucson, Inc.
• Affinity Counseling Center LLC
• Affinity Hospice Care Inc
• Affordable Dentures - Tucson, P.C.

• 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 Jan 31, 2023; 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.