# THG DENTAL, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tangerine Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669636189
- **Authorized official:** DR. TRYM H GIBBONS DDS (OWNER)
- **Authorized official phone:** (520) 616-4610

## Contact information

- **Practice address:** 12090 N. THORNYDALE, STE 106, MARANA, AZ 85658-4779
- **Practice address phone:** (520) 616-4610
- **Practice address fax:** (520) 616-4609
- **Mailing address:** 12090 N. THORNYDALE, STE 106, MARANA, AZ 85658-4779
- **Mailing address phone:** (520) 616-4610
- **Mailing address fax:** (520) 616-4609

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 6566 | AZ | Yes |

## Other

- **Enumeration date:** 07/14/2008
- **Last updated:** 01/11/2017