# DESERT DENTAL GROUP, P.C.

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

## Provider details

- **NPI number:** 1730378522
- **Authorized official:** SHELLY HAMPTON (OFFICE MANAGER)
- **Authorized official phone:** (520) 663-0419

## Contact information

- **Practice address:** 8265 S HOUGHTON RD, SUITE 101, TUCSON, AZ 85747-9702
- **Practice address phone:** (520) 663-0419
- **Practice address fax:** (520) 663-0429
- **Mailing address:** 8265 S HOUGHTON RD, SUITE 101, TUCSON, AZ 85747-9702
- **Mailing address phone:** (520) 663-0419
- **Mailing address fax:** (520) 663-0429

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5038 | AZ | Yes |

## Other

- **Enumeration date:** 10/17/2007
- **Last updated:** 09/27/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 100-5038 | DELTA DENTAL | AZ |
| 01 | — | AZ 0490680 | BLUECROSS BLUESHIELD | AZ |