San Xavier Clinic Dental

LBN: Dhhs-Phs, Ihs Tucson Area, Ihs Tucson
San Xavier Clinic Dental is an health care organization with primary practice located at 7900 S J Stock Rd , Tucson AZ 85746-7012. The organization recently has 4 registered licenses in different health care specialties including Dental Providers / Dental Public Health, Dental Providers / Pediatric Dentistry, Dental Providers / Dental Hygienist, Dental Providers / Dental Assistant. Dental Providers / Dental Public Health is the primary health care specialty. Dhhs-Phs, Ihs Tucson Area, Ihs Tucson can be contacted via phone (520) 295-2575, or through Raymond, Arlene via phone (520) 295-2427.

Contact Information

Primary practice address
7900 S J Stock Rd Tucson AZ 85746-7012
Phone: (520) 295-2575
Fax: (520) 295-2574
Website:
Map and Directions
Authorized official contact:
Name: Raymond, Arlene
Phone: (520) 295-2427

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Public Health 1223D0001X
Dental Providers / Pediatric Dentistry 1223P0221X
Dental Providers / Dental Hygienist 124Q00000X
Dental Providers / Dental Assistant 126800000X

Profile Details

NPI number 1215910484
LBN Legal business name Dhhs-Phs, Ihs Tucson Area, Ihs Tucson
DBA Doing business as San Xavier Clinic Dental
Authorized official Raymond, Arlene
Entity Organization
Organization subpart 1 No
Enumeration date Nov 22nd, 2005
Last updated Apr 22nd, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215910484 NPPES
Arizona Other 0325678 NACADP#
Arizona Other AZ0209600 NACADP#
Arizona Other 03D0864297 NACADP#
Arizona MEDICAID 004101-03 NACADP#

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