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Contact Information

AERIS FAMILY DENTAL PANTANO
1160 N PANTANO RD
TUCSON, AZ85715-5126
 Phone: 520-886-8503
 Fax: 520-885-6660
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for AERIS FAMILY DENTAL PANTANO

NPI Number 1407568926
LBN Legal business name AERIS FAMILY DENTAL PANTANO
Authorized official LAN ALLEN - (MANAGER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 12/15/2022
Last updated 01/31/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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