Tucson Dental Implants and Periodontics PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D009229 Issued in AZ

Legal business name

TUCSON DENTAL IMPLANTS AND PERIODONTICS PLLC

Practice address

2330 N Rosemont Blvd
Tucson, AZ 85712-2163

Phone

(310) 666-6438

NPI assigned

Aug 21, 2015

Last updated

Aug 21, 2015By 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. Clark Mackelprang, D.D.S., M.S.NPI 1235486507

Title

Member

Phone

(310) 666-6438

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.

• Clark Mackelprang, DDS, MS

  • Periodontics
  • Tucson, AZ
  • NPI 1235486507
  NPD (past) Authorized official

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

{
    "created_epoch": "1440115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440115200000",
    "number": "1609243955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4381 N SUNSET CLIFF DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857506934",
            "telephone_number": "310-666-6438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 N ROSEMONT BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122163",
            "telephone_number": "310-666-6438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUCSON DENTAL IMPLANTS AND PERIODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-21",
        "last_updated": "2015-08-21",
        "status": "A",
        "authorized_official_last_name": "MACKELPRANG",
        "authorized_official_first_name": "CLARK",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "310-666-6438",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AZ",
            "license": "D009229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tucson Counseling Associates, LLC
• Tucson Counseling Associates, LLC
• Tucson Counseling PLLC
• Tucson Dental and Orthodontics (Rodeo Dental and Orthodontics)
• Tucson Dental Anesthesia PLLC
• Tucson Dental Studio, PLLC
• Tucson Dermatology LTD
• Tucson Desert ASC LLC (Arizona Sky Surgical Center)
• Tucson Digestive Institute LLC (Arizona Digestive Institute)
• Tucson E.N.T. Associates, P.C.

• Dental Clinic/Center in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2015; 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.