# FOOTHILLS FAMILY DENTISTRY LLC

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

## Provider details

- **NPI number:** 1528675303
- **Authorized official:** RODNEY CLARK TILLEY (GM)
- **Authorized official phone:** (602) 695-4192

## Contact information

- **Practice address:** 7229 N THORNYDALE RD, TUCSON, AZ 85741-2097
- **Practice address phone:** (520) 744-3480
- **Mailing address:** 16627 S LINDSAY RD, GILBERT, AZ 85295-1501
- **Mailing address phone:** (602) 695-4192

## Taxonomy

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

## Other

- **Enumeration date:** 09/25/2020
- **Last updated:** 10/06/2020