Provider Demographics
NPI:1144729849
Name:CASAS ADOBES DENTISTRY, PLLC
Entity type:Organization
Organization Name:CASAS ADOBES DENTISTRY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:ENG
Authorized Official - Last Name:CHIN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:858-336-1642
Mailing Address - Street 1:7477 N ORACLE RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-6306
Mailing Address - Country:US
Mailing Address - Phone:520-297-2297
Mailing Address - Fax:
Practice Address - Street 1:7520 N ORACLE RD STE 200
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-4449
Practice Address - Country:US
Practice Address - Phone:520-297-2297
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-08
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental