# AURORA DENTAL GROUP LLC

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

## Provider details

- **NPI number:** 1801314810
- **Authorized official:** LARRY WHEELER DDS (OWNER)
- **Authorized official phone:** (520) 979-1979

## 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:** 63675 E SADDLEBROOKE BLVD STE M, TUCSON, AZ 85739-1297
- **Mailing address phone:** (520) 818-6732
- **Mailing address fax:** (520) 818-7824

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | — |
| 122300000X | Dentist | — | — | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |
| 261QD0000X | Dental Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 08/30/2017
- **Last updated:** 07/21/2022