# DHHS-PHS, IHS TUCSON AREA, IHS TUCSON

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SAN XAVIER CLINIC DENTAL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215910484
- **Authorized official:** MS. ARLENE RAYMOND (BUDGET ANALYST)
- **Authorized official phone:** (520) 295-2427

## Contact information

- **Practice address:** 7900 S J STOCK RD, TUCSON, AZ 85746-7012
- **Practice address phone:** (520) 295-2575
- **Practice address fax:** (520) 295-2574
- **Mailing address:** 7900 S J STOCK RD, TUCSON, AZ 85746-7012
- **Mailing address phone:** (520) 295-2503
- **Mailing address fax:** (520) 295-2676

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223D0001X | Public Health Dentistry | — | NULL | Yes |
| 1223D0001X | Public Health Dentistry | — | — | Yes |
| 1223P0221X | Pediatric Dentistry | — | NULL | — |
| 1223P0221X | Pediatric Dentistry | — | — | — |
| 124Q00000X | Dental Hygienist | — | NULL | — |
| 124Q00000X | Dental Hygienist | — | — | — |
| 126800000X | Dental Assistant | — | NULL | — |
| 126800000X | Dental Assistant | — | — | — |

## Other

- **Enumeration date:** 11/22/2005
- **Last updated:** 04/22/2008