Organization · Type 2 NPI

Catalina Foothills Family Dental, LLC

General Practice Dentistry · Tucson, AZ

NPI number 1649856246 Active

Practice location

3986 N Campbell Ave
Tucson, AZ 85719-1461

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	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.

Another provider at this address

Harry C. Reece, DDSDentist Tucson, AZ NPI 1497829576

Other general practice dentistry providers in Tucson

See all in Tucson →

NPI record

NPI: 1649856246
Entity type: Organization (Type 2)
Issued: Mar 23, 2021
Last updated: Mar 23, 2021
Status: Active

Other names

Catalina Foothills Family Dental · doing business as
Jonathan S. Icely · other name
Mark A Larsen · other name

Authorized official

Lynne K Miller
Office Manager
(520) 891-0817

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 1649856246

Catalina Foothills Family Dental, LLC's National Provider Identifier is 1649856246, issued on Mar 23, 2021. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Tucson, AZ. The record was last updated on Mar 23, 2021.