Organization Active NPI

Soflisa Az LLC

  • General Practice Dentistry
  • Tucson, AZ
National Provider Identifier
1821939885
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SOFLISA AZ LLC
Doing business as
Wellness Dental
Practice address
6288 E Grant Rd
Tucson, AZ 85712-5831
Phone
(520) 214-2484
NPI assigned
Apr 3, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Authorized official

Name
Duaa Hamoud, DMD
Title
Owner/ Dentist
Phone
(708) 940-6190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

6288 E Grant Rd
Tucson, AZ 85712-5831

Mailing address

10741 165TH St
Orland Park, IL 60467-8713
Phone (708) 940-6190

Other names 1

  • Wellness Dental Doing business as

National Provider Directory

National Provider Directory

Locations

6288 E Grant Rd
Tucson, AZ 85712
Phone (520) 319-6686

NPI Registry JSON

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

{
    "created_epoch": "1775174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775606400000",
    "number": "1821939885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10741 165TH ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604678713",
            "telephone_number": "708-940-6190",
            "fax_number": "708-364-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6288 E GRANT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857125831",
            "telephone_number": "520-214-2484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOFLISA AZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-03",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A",
        "authorized_official_last_name": "HAMOUD",
        "authorized_official_first_name": "DUAA",
        "authorized_official_title_or_position": "OWNER/ DENTIST",
        "authorized_official_telephone_number": "708-940-6190",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness Dental",
            "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 Apr 8, 2026; 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.