# MICHAEL J KILLEBREW DDS & ASSOCIATES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Michael Killebrew
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710001797
- **Authorized official:** DR. MICHAEL J KILLEBREW DDS (PRESIDENT)
- **Authorized official phone:** (520) 401-4191

## Contact information

- **Practice address:** 63675 E SADDLEBROOKE BLVD, STE. M, TUCSON, AZ 85739-1297
- **Practice address phone:** (520) 818-6732
- **Practice address fax:** (520) 818-7824
- **Mailing address:** 8753 E HONEYBEAR PL, TUCSON, AZ 85749-8202
- **Mailing address phone:** (520) 401-4191
- **Mailing address fax:** (520) 760-0859

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 2339 | AZ | Yes |

## Other

- **Enumeration date:** 03/16/2007
- **Last updated:** 03/04/2008