Organization · Type 2 NPI

Mariposa Community Health Center, Inc

General Practice Dentistry · Rio Rico, AZ

NPI number 1073373536 Active

Practice location

1103 Circulo Mercado
Rio Rico, AZ 85648-6248

Call (520) 375-5032 Map

Fax (520) 761-2159

Mailing address

825 N Grand Ave Ste 100
Nogales, AZ 85621-1061

Specialties and licenses

Taxonomy	Code	License
Dentist	122300000X	None listed
Public Health Dentistry	1223D0001X	None listed
General Practice Dentistry Primary	1223G0001X	None listed
Dental Hygienist	124Q00000X	None listed
Dental Clinic/Center	261QD0000X	None listed
Federally Qualified Health Center (FQHC)	261QF0400X	None listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

9 other providers at this address

NPI record

NPI: 1073373536
Entity type: Organization (Type 2)
Issued: Mar 21, 2024
Last updated: Feb 17, 2025
Status: Active
Subpart: Yes of Mariposa Community Health Center, Inc

Other names

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Mariposa Community Health Center, Inc.-Dental, Rio Rico · other name
Mariposa Community Health Center, Inc.-Dental, Rio Rico · other name

Authorized official

Amy Taylor
Chief Executive Officer
(520) 761-2128

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1073373536

Mariposa Community Health Center, Inc's National Provider Identifier is 1073373536, issued on Mar 21, 2024. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Rio Rico, AZ. The record was last updated on Feb 17, 2025.