Kino Dental Group in Tucson - General Practice
Kino Dental Group - NPI 1407037807
Kino Dental Group is a General Practice in Tucson, Arizona. Kino Dental Group practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kino Dental Group is 1407037807. The last update date is 2011-04-06.
Kino Dental Group's current location address is 4850 E. Broadway Blvd, Tucson, Arizona. You can contact this provider via phone number 5205141883 and fax number 5205141997. The mailing address for Kino Dental Group is 4850 E. Broadway Blvd, Tucson, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kino Dental Group |
|---|---|
| Address | 4850 E. Broadway Blvd, Tucson, Arizona |
| Phone Number | 5205141883 |
| Fax Number | 5205141997 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Gold Jene Rodney |
| Credentials | D.D.S. |
| Telephone Number | 5205141883 |
NPI Number Detail
| NPI Number | 1407037807 |
|---|---|
| Provider Enumeration Date | 2007-11-14 |
| Last Updated Date | 2011-04-06 |
Provider Mailing Address Detail
| Address | 4850 E. Broadway Blvd |
|---|---|
| City | Tucson |
| State | Arizona (AZ) |
| Post Code | 85710 |
| Phone Number | 5205141883 |
| Fax Number | 5205141997 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 092578-006 | AZ | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Kino Dental Group by the Centers for Medicare & Medicaid Services?
The Kino Dental Group has been assigned the NPI (National Provider Identifier) 1407037807 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Kino Dental Group located?
The Kino Dental Group is located at 4850 E. Broadway Blvd, Tucson, AZ 85710.
What is Kino Dental Group's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kino Dental Group's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
On what date did Kino Dental Group receive its 1407037807 assignment from the Centers for Medicare & Medicaid Services?
The Kino Dental Group was assigned its 1407037807 on 2007-11-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Kino Dental Group most recently updated or revised?
The information pertaining to Kino Dental Group, including its address, specialty, and other relevant details, was last updated or revised on 2011-04-06.