Southern Arizona Oral & Maxillofacial Surgery, P.C.

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

License

3539 Issued in AZ

Legal business name

SOUTHERN ARIZONA ORAL & MAXILLOFACIAL SURGERY, P.C.

Practice address

6369 E. Tanque Verde Rd.
Suite 230
Tucson, AZ 85715-3834

Phone

(520) 290-6800

Fax

(520) 290-2270

NPI assigned

Sep 5, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Ronald C. QuintiaNPI 1356376297

Title

President

Phone

(520) 290-6800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

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

• Ronald C. Quintia, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Tucson, AZ
  • NPI 1356376297
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346803200000",
    "number": "1679822761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6369 E. TANQUE VERDE RD.",
            "address_2": "SUITE 230",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857153834",
            "telephone_number": "520-290-6800",
            "fax_number": "520-290-2270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6369 E. TANQUE VERDE RD.",
            "address_2": "SUITE 230",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857153834",
            "telephone_number": "520-290-6800",
            "fax_number": "520-290-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN ARIZONA ORAL & MAXILLOFACIAL SURGERY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-05",
        "last_updated": "2012-09-05",
        "status": "A",
        "authorized_official_last_name": "QUINTIA",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-290-6800",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "AZ",
            "license": "3539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Arizona Internal Medicine, PLLC
• Southern Arizona Limb Preservation Center LLC
• Southern Arizona Medical Specialists LTD
• Southern Arizona Neuropsychology Associates LLC
• Southern Arizona Ophthalmology PC (Southern Arizona Ophthalmology LTD)
• Southern Arizona Orthopedics, P.C.
• Southern Arizona Pathology Associates, LLC.
• Southern Arizona Periodontics PLC
• Southern Arizona Plastic Surgery, PLLC
• Southern Arizona Rheumatology

• Oral and Maxillofacial Surgery Clinic/Center in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.