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JENNA PARK DMD PLC
NPI 1174414320
Dentist - General Practice in Tucson, AZ

Active since July 14, 2025
6303 E BROADWAY BLVD STE 101, TUCSON, AZ 85710(520) 276-1654 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jenna Park Dmd Plc NPPES

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

JENNA PARK DMD PLC (NPI 1174414320) is a healthcare organization registered as a general practice in Tucson, Arizona and active in the NPI registry since July 2025. The organization lists Christine Barber, Provider Enrollment Manager, as its authorized official.

NPPES Registry Identity

NPI1174414320
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameJENNA PARK DMD PLC
Location Address6303 E BROADWAY BLVD STE 101Tucson, AZ 85710-3547
Mailing AddressPo Box 70887Cleveland, OH 44190-0887 · (315) 454-6000
Phone(520) 276-1654
Organization SubpartNo
Authorized OfficialChristine BarberProvider Enrollment Manager · (315) 454-6000
Enumeration DateJuly 14, 2025
NPPES CertifiedJuly 14, 2025
✔ NPI 1174414320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
6303 E BROADWAY BLVD STE 101, Tucson, AZ 85710
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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

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

DR. LOAN LE DMD
Dentist
6303 E BROADWAY BLVD STE 101
TUCSON, AZ 85710
Pima County (520) 276-1654

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 Jenna Park Dmd Plc's NPI number?

The NPI number for Jenna Park Dmd Plc is 1174414320. It was assigned to this organization in the NPPES registry on July 14, 2025.

Where is Jenna Park Dmd Plc located?

Jenna Park Dmd Plc is located at 6303 E Broadway Blvd Ste 101, Tucson, AZ 85710. The listed phone number is (520) 276-1654.

What is Jenna Park Dmd Plc's specialty?

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

What insurance does Jenna Park Dmd Plc accept?

Health plans from Ambetter from Arizona Complete Health list Jenna Park Dmd Plc 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 Jenna Park Dmd Plc was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.