Santa Rosa Dental Clinic is a dental clinic (Dental Assistant) in Santa Rosa Village, Arizona. The current practice location for Santa Rosa Dental Clinic is Federal Route 15, Santa Rosa Village, Arizona. For appointments, you can reach them via phone at
(520) 383-5570. The mailing address for Santa Rosa Dental Clinic is 7900 S J Stock Rd, Tucson, Arizona and phone number is (520) 295-2427.
Santa Rosa Dental Clinic is licensed to practice in * (Not Available) (license number ) and its
NPI number is 1164407870. This medical practice
does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at
(520) 383-5570.
Dental Care Clinic Profile
| Full Name | Santa Rosa Dental Clinic |
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| Speciality | Dental Assistant |
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| Location | Federal Route 15, Santa Rosa Village, Arizona |
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| Authorized Official Name and Position | Kurt Priessman (ACCOUNTING AND BUDGET OFFICER) |
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| Authorized Official Contact | 5202952427 |
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| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Santa Rosa Dental Clinic
7900 S J Stock Rd
Tucson
AZ 85746-7012
Ph: (520) 295-2427 | Santa Rosa Dental Clinic
Federal Route 15
Santa Rosa Village
AZ 85634
Ph: (520) 383-5570 |
NPI Details:
| NPI Number | 1164407870 |
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| Provider Enumeration Date | 12/14/2005 |
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| Last Update Date | 08/22/2020 |
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Medical Identifiers
Medical identifiers for Santa Rosa Dental Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164407870 | NPI | - | NPPES |
| 1770581639 | Other | AZ | FACILITY PROVIDER # |
| 147141-03 | Medicaid | AZ | |
| AZ0209590 | Other | AZ | BC/BSAZ DENTAL PROV NO |
| 1073502506 | Other | AZ | PHARMACY PROV NO |
| 0327177 | Other | AZ | NACADP# |
| AZ0209630 | Other | AZ | BC/BSAZ PROV NO |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
| 124Q00000X | Dental Hygienist | (* (Not Available)) | Primary |
| 126800000X | Dental Assistant | (* (Not Available)) | Primary |
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