# ASSOCIATED DENTAL CARE PROVIDERS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Associated Dental Care Tucson - Campbell
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114053725
- **Authorized official:** HANNAH FISH (CREDENTIALING MANAGER)
- **Authorized official phone:** (217) 540-5699

## Contact information

- **Practice address:** 3250 N CAMPBELL AVE STE 116, TUCSON, AZ 85719-2381
- **Practice address phone:** (520) 881-8995
- **Practice address fax:** (520) 881-7188
- **Mailing address:** 3250 N CAMPBELL AVE STE 116, TUCSON, AZ 85719-2381
- **Mailing address phone:** (520) 881-8995
- **Mailing address fax:** (520) 881-7188

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 02/26/2007
- **Last updated:** 09/18/2023
