# JEFFREY H DUBOIS DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174579080
- **Authorized official:** DR. JEFFREY H DUBOIS DDS (PRESIDENT)
- **Authorized official phone:** (520) 745-8424

## Contact information

- **Practice address:** 6246 E PIMA ST, STE 140, TUCSON, AZ 85712-3157
- **Practice address phone:** (520) 745-8424
- **Practice address fax:** (520) 298-0760
- **Mailing address:** 6246 E PIMA ST, STE 140, TUCSON, AZ 85712-3157
- **Mailing address phone:** (520) 745-8424
- **Mailing address fax:** (520) 298-0760

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D3256 | AZ | Yes |

## Other

- **Enumeration date:** 05/25/2006
- **Last updated:** 02/06/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 088254 | AHCCCS | AZ |