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ISMILE TUCSON, LLC
NPI 1063967651
Dentist - General Practice in Tucson, AZ

Active since August 24, 2016
1102 N EL DORADO PL, TUCSON, AZ 85715(520) 514-7400 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 23, 2026, Aug 24, 2016 (2 updates tracked since 2016).

About Ismile Tucson, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ISMILE TUCSON, LLC (NPI 1063967651), doing business as Tucson Mountain Dental, is a healthcare organization registered as a general practice in Tucson, Arizona and active in the NPI registry since August 2016. The organization lists Shatoya Rodriguez, Ar Specialist, as its authorized official.

NPPES Registry Identity

NPI1063967651
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameISMILE TUCSON, LLC
Location Address1102 N EL DORADO PLTucson, AZ 85715-4606
Mailing Address1102 N El Dorado PlTucson, AZ 85715-4606 · (520) 514-7400 · Fax (520) 514-7403
Phone(520) 514-7400
Organization SubpartNo
Authorized OfficialShatoya RodriguezAr Specialist · (520) 514-7400
Enumeration DateAugust 24, 2016
Last NPPES UpdateApril 23, 20262 updates tracked since enumeration
NPPES CertifiedApril 23, 2026
✔ NPI 1063967651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in AZ · 9197
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1102 N EL DORADO PL, Tucson, AZ 85715
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Other Names 1

Doing Business AsTucson Mountain Dental

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. FREDERICK J MENICK M.D.
Specialist
1102 N EL DORADO PL
TUCSON, AZ 85715
Pima County (520) 881-4525
ARRAN INDUSTRIES
Plastic Surgery
1102 N EL DORADO PL
TUCSON, AZ 85715
Pima County (520) 881-4525
GARRETT GEIGER DMD
Dentist (General Practice)
1102 N EL DORADO PL
TUCSON, AZ 85715
Pima County (520) 525-1534

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ismile Tucson, LLC's NPI number?

The NPI number for Ismile Tucson, LLC is 1063967651. It was assigned to this organization in the NPPES registry on August 24, 2016.

Where is Ismile Tucson, LLC located?

Ismile Tucson, LLC is located at 1102 N El Dorado Pl, Tucson, AZ 85715. The listed phone number is (520) 514-7400.

What is Ismile Tucson, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Ismile Tucson, LLC accept?

Health plans from Ambetter from Arizona Complete Health list Ismile Tucson, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ismile Tucson, LLC was last updated on April 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.