Skyline Dental Llc is a Dentist in Tucson, Arizona. Skyline Dental Llc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Skyline Dental Llc is 1588701825. The last update date is 2020-08-22.
Skyline Dental Llc's current location address is 3918 W Ina Rd, Tucson, Arizona. You can contact this provider via phone number 5205793393 and fax number 5205793005. The mailing address for Skyline Dental Llc is 3918 W Ina Rd, Tucson, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Skyline Dental Llc |
|---|---|
| Address | 3918 W Ina Rd, Tucson, Arizona |
| Phone Number | 5205793393 |
| Fax Number | 5205793005 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DOCTOR MAN |
|---|---|
| Authorized Official Name | Trujillo Elias Victor |
| Credentials | DDS |
| Telephone Number | 5205793393 |
NPI Number Detail
| NPI Number | 1588701825 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3918 W Ina Rd |
|---|---|
| City | Tucson |
| State | Arizona (AZ) |
| Post Code | 857412241 |
| Phone Number | 5205793393 |
| Fax Number | 5205793005 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | D3864 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 882447 | UNITED CONCORDIA | ||
| AZ0103321 | AZ | BLUE CROSS BLUE SHIELD OF |
Post Comment/ Review Below
What is the unique identifier code issued to Skyline Dental Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Skyline Dental Llc has been assigned the NPI (National Provider Identifier) 1588701825. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Skyline Dental Llc is physically located?
The Skyline Dental Llc is situated at the following address: 3918 W Ina Rd, Tucson, AZ 857412241.
What is Skyline Dental Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Skyline Dental Llc's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date did the Skyline Dental Llc receive the assignment of its 1588701825 from the Centers for Medicare & Medicaid Services?
The Skyline Dental Llc was issued its 1588701825 by the Centers for Medicare & Medicaid Services on 2007-01-30.
When was the information regarding Skyline Dental Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Skyline Dental Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.