Organization
KINO DENTAL GROUP
Active
Parent organization
KINO DENTAL GROUP DBA FRONTIER DENTAL
Other names
dba Frontier Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
KINO DENTAL GROUP DBA FRONTIER DENTAL
Authorized official
RODNEY JENE GOLD D.D.S. (PRESIDENT)
(520) 514-1883
Entity
Organization
Contact information
Practice address
4850 E. BROADWAY BLVD., FRONTIER DENTAL, TUCSON, AZ 85710
(520) 514-1883
(520) 514-1997
Mailing address
4850 E. BROADWAY BLVD, FRONTIER DENTAL, TUCSON, AZ 85710
(520) 514-1883
(520) 514-1997
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3398
AZ
1223G0001X
General Practice Dentistry
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092578-006
—
AZ
Enumeration date
11/14/2007
Last updated
04/06/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us