Organization
I SMILE CMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFF RYAN SPILLERS D.D.S (PARTNER)
(520) 889-3358
Entity
Organization
Contact information
Practice address
4600 S PARK AVE STE 6, TUCSON, AZ 85714-1697
(520) 889-3358
(520) 889-3350
Mailing address
4600 S PARK AVE STE 6, TUCSON, AZ 85714-1697
(520) 889-3358
(520) 889-3350
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D008640
AZ
Other
Enumeration date
08/27/2014
Last updated
08/27/2014
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