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DBA FRONTIER DENTAL
NPI 1407037807
Dentist - General Practice in Tucson, AZ

Active since November 14, 2007
4850 E. BROADWAY BLVD., FRONTIER DENTAL, TUCSON, AZ 85710(520) 514-1883(520) 514-1997 Get Directions Write a Review

NPPES record last updated: April 6, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dba Frontier Dental NPPES

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

DBA FRONTIER DENTAL (NPI 1407037807) is a healthcare organization registered as a general practice in Tucson, Arizona and active in the NPI registry since November 2007. The organization lists Rodney Jene Gold, President, as its authorized official.

NPPES Registry Identity

NPI1407037807
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameKINO DENTAL GROUP
Location Address4850 E. BROADWAY BLVD., FRONTIER DENTALTucson, AZ 85710
Mailing Address4850 E. Broadway Blvd, Frontier DentalTucson, AZ 85710 · (520) 514-1883 · Fax (520) 514-1997
Phone(520) 514-1883
Fax(520) 514-1997
Organization SubpartYesParent: Kino Dental Group Dba Frontier Dental
Authorized OfficialRodney Jene GoldPresident · (520) 514-1883
Enumeration DateNovember 14, 2007
Last NPPES UpdateApril 6, 2011
✔ NPI 1407037807 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 · 3398
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.
4850 E. BROADWAY BLVD., Tucson, AZ 85710
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Other Names 1

Doing Business AsDba Frontier Dental

Other Identifiers 1

Medicaid092578-006AZ

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 MULTIPLE SINGLE SPECIALTY GROUP

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. DOUGLAS B FRITZ DDS
Dentist
4850 E. BROADWAY BLVD., FRONTIER DENTAL
TUCSON, AZ 85710
Pima County (520) 514-1883

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 Kino Dental Group's NPI number?

The NPI number for Kino Dental Group is 1407037807. It was assigned to this organization in the NPPES registry on November 14, 2007. The provider is doing business as Dba Frontier Dental.

Where is Kino Dental Group located?

Kino Dental Group is located at 4850 E. Broadway Blvd. Frontier Dental, Tucson, AZ 85710. The listed phone number is (520) 514-1883.

What is Kino Dental Group's specialty?

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

When was this NPI record last updated?

The NPPES record for Kino Dental Group was last updated on April 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.