# SOUTHERN SQUARE DENTISTRY PLC

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

## Provider details

- **NPI number:** 1740485978
- **Authorized official:** JULIE MCLEOD (CEO)
- **Authorized official phone:** (520) 290-6181

## Contact information

- **Practice address:** 5440 E SOUTHERN AVE, SUITE 107, MESA, AZ 85206-2779
- **Practice address phone:** (480) 830-3344
- **Mailing address:** 11550 E IRVINGTON RD, TUCSON, AZ 85747-8925
- **Mailing address phone:** (520) 290-6181

## Taxonomy

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

## Other

- **Enumeration date:** 06/18/2007
- **Last updated:** 02/26/2009