# ARIZONA DENTAL PROFESSIONALS, P.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ARIZONA DENTAL PROFESSIONALS, P.C.
- **Other names:** Santa Cruz River Dental
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1114320504
- **Legal business name:** ARIZONA DENTAL PROFESSIONALS, P.C.
- **Authorized official:** KENDRA WALKER (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (217) 540-8513

## Contact information

- **Practice address:** 1185 W IRVINGTON RD, TUCSON, AZ 85714-1278
- **Practice address phone:** (520) 247-2328
- **Mailing address:** 1185 W IRVINGTON RD, TUCSON, AZ 85714-1278
- **Mailing address phone:** (520) 247-2328

## Taxonomy

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

## Other

- **Enumeration date:** 09/30/2014
- **Last updated:** 03/05/2018