Nova Dental Incorporated

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D6339 Issued in AZ

Legal business name

NOVA DENTAL INCORPORATED

Practice address

4411 E 5TH St
Suite D
Tucson, AZ 85711-2015

Phone

(520) 325-1098

Fax

(520) 325-1112

NPI assigned

Sep 14, 2013

Organization subpart

No

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

Authorized official

Name

Suo Ji, DMDNPI 1740271410

Title

President

Phone

(520) 325-1098

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Suo Ji, D.M.D.

  • General Practice Dentistry
  • Tucson, AZ
  • NPI 1740271410
  NPD (past) Authorized official

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

{
    "created_epoch": "1379116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379116800000",
    "number": "1891121422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 E 5TH ST",
            "address_2": "SUITE D",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112015",
            "telephone_number": "520-325-1098",
            "fax_number": "520-325-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 E 5TH ST",
            "address_2": "SUITE D",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112015",
            "telephone_number": "520-325-1098",
            "fax_number": "520-325-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA DENTAL INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-14",
        "last_updated": "2013-09-14",
        "status": "A",
        "authorized_official_last_name": "JI",
        "authorized_official_first_name": "SUO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-325-1098",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D6339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Noth, LPC
• Mohamed Nour
• Soheila L Nouri, M.D.
• Nourish the Love
• Nova Clinic LLC
• Nova Via DX LLC
• Marina Novack, CRNA
• Barbara Novak, CNM
• Bethany Novak
• Gregory Daniel Novak, MD

• 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 Sep 14, 2013; 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.