Provider Demographics
NPI:1710729454
Name:AFFORDABLE DENTURES & IMPLANTS - NORTH TUCSON II, P.C.
Entity type:Organization
Organization Name:AFFORDABLE DENTURES & IMPLANTS - NORTH TUCSON II, P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SIBERA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRANNON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:520-487-4085
Mailing Address - Street 1:5815 W ARIZONA PAVILIONS DR STE 105
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85743-7302
Mailing Address - Country:US
Mailing Address - Phone:520-487-4085
Mailing Address - Fax:
Practice Address - Street 1:5815 W ARIZONA PAVILIONS DR STE 105
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85743-7302
Practice Address - Country:US
Practice Address - Phone:520-487-4085
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-12
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty