Prince Dental Group, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4053 Issued in AZ

Legal business name

PRINCE DENTAL GROUP, P.C.

Practice address

1426 W Prince Rd
Tucson, AZ 85705-3014

Phone

(520) 887-6111

NPI assigned

May 17, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Richard Brian Davies, D.D.S.NPI 1508073982

Title

President

Phone

(520) 887-6111

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, and the practitioner matching its NPPES authorized official.

• Richard Brian Davies, D.D.S.

  • General Practice Dentistry
  • Tucson, AZ
  • NPI 1508073982
  Authorized official Same address or phone

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518174713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 W PRINCE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857053014",
            "telephone_number": "520-887-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 W PRINCE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857053014",
            "telephone_number": "520-887-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCE DENTAL GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIES",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-887-6111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "4053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roxanne Lynn Prillwitz, LPC
• Prima Lux LLC (FirstLight Home Care of Tucson)
• Primary Med Clinic LLC (Primary Med Clinic)
• Keith Richard Primeau, M.D.
• Richard L Primeau, M.A.
• Brooklyn Prince, COTA/L
• David Prince, LCSW
• Eva Marie Prince
• Robert Leo Prince, PT, DPT, ATC/L, CSCS
• Stefanie Prince

• 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.