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:
Health care specialties
| Specialty | Code | License # | 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 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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