Active NPI
Marie Anne Robillard, DDS
- General Practice Dentistry
- Tucson, AZ
National Provider Identifier
1619448859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D010140
- Practice address
- 1601 N Tucson Blvd Ste 24
Tucson, AZ 85716-3407 - Phone
- (520) 325-6717
- NPI assigned
- Dec 16, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D010140 | AZ | Primary |
Addresses
Primary practice location
1601 N Tucson Blvd Ste 24
Tucson, AZ 85716-3407
Mailing address
1601 N Tucson Blvd Ste 24
Tucson, AZ 85716-3407
Phone (520) 325-6717
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D010140 | AZ | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544918400000",
"number": "1619448859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 N TUCSON BLVD STE 24",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857163407",
"telephone_number": "520-325-6717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 N TUCSON BLVD STE 24",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857163407",
"telephone_number": "520-325-6717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBILLARD",
"first_name": "MARIE",
"middle_name": "ANNE",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-16",
"last_updated": "2018-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "D010140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
- Valerie Jean Robertson, MD
- Kathryn Vaughan Robey, LPC
- Danielle Marie Robillard, AUD
- David Martin Robillard, DDS
- Genevieve Clara Regan Robillard, CCC-SLP
- Martin Edward Robillard, D.D.S.
- Robin Myers
- Amber N Robinette Ezonnaebi, D.O.
- Floyd 'Bodie' Robins
- Robinson & Robinson Psychological Associates LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.