# MOUNTAINSIDE DENTAL CARE

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

## Provider details

- **NPI number:** 1821494394
- **Authorized official:** DAVID H. HAYMORE DDS (MANAGER)
- **Authorized official phone:** (520) 297-5422

## Contact information

- **Practice address:** 9000 N ORACLE RD, ORO VALLEY, AZ 85704-7400
- **Practice address phone:** (520) 297-5422
- **Mailing address:** 9000 N ORACLE RD, ORO VALLEY, AZ 85704-7400
- **Mailing address phone:** (520) 297-5422

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 3578 | AZ | Yes |

## Other

- **Enumeration date:** 11/11/2014
- **Last updated:** 11/11/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1093769671 | NPPES | AZ |
| 01 | — | 1700218419 | NPPES | AZ |
| 01 | — | 1922034347 | NPPES | AZ |