Individual provider · Type 1 NPI

Thomas Michael Blase, DDS, M.S.D.

Orthodontics and Dentofacial Orthopedics Dentistry · Tucson, AZ

NPI number 1023112539 Active

Practice location

6373 E Tanque Verde Rd Ste 110
Tucson, AZ 85715-3835

Fax (520) 296-7353

Mailing address

12420 E Cape Horn Dr
Tucson, AZ 85749-8488

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X3781 (AZ)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1023112539

Thomas Michael Blase, DDS, M.S.D.'s National Provider Identifier is 1023112539, issued on Sep 13, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Tucson, AZ. The record was last updated on Jul 8, 2007.