# PRESIDIO DENTAL PLLC

> 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
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235308834
- **Authorized official:** DR. JESSE CLAYTON ENGLE D.M.D. (DENTIST)
- **Authorized official phone:** (520) 245-6328

## Contact information

- **Practice address:** 8740 THORNYDALE ROAD, SUITE 100, TUCSON, AZ 85742
- **Practice address phone:** (520) 744-7388
- **Practice address fax:** (520) 744-7395
- **Mailing address:** 6600 N PASEO DE ANGEL, TUCSON, AZ 85741-3053

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 6870 | AZ | Yes |

## Other

- **Enumeration date:** 02/27/2008
- **Last updated:** 02/27/2008