Organization Name: | DHHS-PHS, IHS TUCSON AREA, IHS TUCSON |
NPI Number: | 1558344358 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KURT PRIESSMAN (ACCOUNTING AND BUDGET OFFICER) |
Mailing Address: | Highway 86 And Topawa Road Sells |
State: | AZ US |
Postal Code: | 85634 |
Phone Number: | 5203837251 |
Fax Number: | 5203837216 |
NPI Enumeration Date: | 11/25/2005 |
NPI Last Update Date: | 01/15/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |