Twelve Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D5232 Issued in AZ

Legal business name

TWELVE DENTAL LLC

Practice address

3275 W Ina Rd
Suite 101
Tucson, AZ 85741-2151

Phone

(520) 888-2900

Fax

(520) 408-1854

NPI assigned

Oct 14, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Doug Chang

Title

Owner/Ceo

Phone

(602) 955-2833

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413244800000",
    "number": "1871997288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3275 W INA RD",
            "address_2": "SUITE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412151",
            "telephone_number": "520-888-2900",
            "fax_number": "520-408-1854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3275 W INA RD",
            "address_2": "SUITE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412151",
            "telephone_number": "520-888-2900",
            "fax_number": "520-408-1854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWELVE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-14",
        "last_updated": "2014-10-14",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "602-955-2833",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D5232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judy Kay Tutalo, OTR
• Kerri Tuttle, DPT, MTC
• Amanda J Tvedt, DPT
• Lukas L Tvedt, DPT
• John D Twelker, OD, PHD
• Lani Sage Twenter
• Ann Twilley, LPC
• Twin Lakes Surgical Services, LLC
• Twin Peaks Behavioral Health LLC
• Twin Peaks Dental Partners LLC

• General Practice Dentistry in Tucson, AZ
• Providers in Tucson, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; 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.