NPIMap

Organization Active NPI

General Dentistry 4 Kids-Tucson, PLLC

Doing business as General Dentistry 4 Kids

  • General Practice Dentistry
  • Tucson, AZ
National Provider Identifier
1790907004
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GENERAL DENTISTRY 4 KIDS-TUCSON, PLLC
Doing business as
General Dentistry 4 Kids
Practice address
2102 N Country Club Rd Ste a
Tucson, AZ 85716-2831
Phone
(520) 323-1400
Fax
(520) 547-0042
NPI assigned
May 3, 2007
Last updated
Oct 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Authorized official

Name
Teresa Zwicky
Title
Credentialing Manager
Phone
(480) 866-8811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

2102 N Country Club Rd Ste a
Tucson, AZ 85716-2831

Mailing address

2102 N Country Club Rd Ste a
Tucson, AZ 85716-2831
Phone (520) 323-1400

Other names 1

  • General Dentistry 4 Kids Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760572800000",
    "number": "1790907004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 N COUNTRY CLUB RD STE A",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857162831",
            "telephone_number": "520-323-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 N COUNTRY CLUB RD STE A",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857162831",
            "telephone_number": "520-323-1400",
            "fax_number": "520-547-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERAL DENTISTRY 4 KIDS-TUCSON, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A",
        "authorized_official_last_name": "ZWICKY",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "480-866-8811"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "General Dentistry 4 Kids",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; 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.