Dedicated Dental Service in Tucson - General Practice
Dedicated Dental Service - NPI 1205056983
Dedicated Dental Service is a General Practice in Tucson, Arizona. Dedicated Dental Service practices all healthcare services and medical treatments related to General Practice. The NPI Number for Dedicated Dental Service is 1205056983. The last update date is 2020-08-22.
Dedicated Dental Service's current location address is 3773 E Broadway Blvd, Tucson, Arizona. You can contact this provider via phone number 5203205500. The mailing address for Dedicated Dental Service is 3773 E Broadway Blvd, Tucson, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dedicated Dental Service |
|---|---|
| Address | 3773 E Broadway Blvd, Tucson, Arizona |
| Phone Number | 5203205500 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST |
|---|---|
| Authorized Official Name | Bedoya C Manuel |
| Credentials | DMD |
| Telephone Number | 5203205500 |
NPI Number Detail
| NPI Number | 1205056983 |
|---|---|
| Provider Enumeration Date | 2007-04-26 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3773 E Broadway Blvd |
|---|---|
| City | Tucson |
| State | Arizona (AZ) |
| Post Code | 857165409 |
| Phone Number | 5203205500 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 2061 |
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Definition: 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. |
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What is the unique 10-digit identification code issued to Dedicated Dental Service by the Centers for Medicare & Medicaid Services?
The Dedicated Dental Service has been assigned the NPI (National Provider Identifier) 1205056983 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Dedicated Dental Service's physical address?
The Dedicated Dental Service is physically located at 3773 E Broadway Blvd, in the city of Tucson, AZ, with the postal code 857165409.
What is the Dedicated Dental Service's specialty and taxonomy code?
The Dedicated Dental Service's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did the Dedicated Dental Service receive the assignment of its 1205056983 from the Centers for Medicare & Medicaid Services?
The Dedicated Dental Service was issued its 1205056983 by the Centers for Medicare & Medicaid Services on 2007-04-26.
When was the Dedicated Dental Service's information last updated?
The Dedicated Dental Service's information was last updated on 2020-08-22.
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