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CANYON DENTAL GROUP, PLLC
NPI 1619363694
Dentist in Tucson, AZ

Active since April 07, 2015
4001 E BROADWAY BLVD, TUCSON, AZ 85711(520) 323-2600(520) 323-2800 Get Directions Write a Review

NPPES record last updated: April 7, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Canyon Dental Group, Pllc NPPES

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

CANYON DENTAL GROUP, PLLC (NPI 1619363694) is a healthcare organization registered as a dentist in Tucson, Arizona and active in the NPI registry since April 2015. The organization lists Berkley Hall, Owner, as its authorized official.

NPPES Registry Identity

NPI1619363694
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameCANYON DENTAL GROUP, PLLC
Location Address4001 E BROADWAY BLVDTucson, AZ 85711-3454
Mailing Address4001 E Broadway BlvdTucson, AZ 85711-3454 · (520) 323-2600 · Fax (520) 323-2800
Phone(520) 323-2600
Fax(520) 323-2800
Organization SubpartNo
Authorized OfficialBerkley HallOwner · (520) 323-2600
Enumeration DateApril 7, 2015
✔ NPI 1619363694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
4001 E BROADWAY BLVD, Tucson, AZ 85711
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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

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.

THIEN CONG NGUYEN DMD
Dentist
4001 E BROADWAY BLVD
TUCSON, AZ 85711
Pima County (520) 323-2600
NHUNG PHAM DMD
Dentist
4001 E BROADWAY BLVD
TUCSON, AZ 85711
Pima County (520) 850-9512
DENTAL WISE PLLC
Clinic/Center (Dental)
4001 E BROADWAY BLVD
TUCSON, AZ 85711
Pima County (520) 200-5023

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 Canyon Dental Group, PLLC's NPI number?

The NPI number for Canyon Dental Group, PLLC is 1619363694. It was assigned to this organization in the NPPES registry on April 7, 2015.

Where is Canyon Dental Group, PLLC located?

Canyon Dental Group, PLLC is located at 4001 E Broadway Blvd, Tucson, AZ 85711. The listed phone number is (520) 323-2600.

What is Canyon Dental Group, PLLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Canyon Dental Group, PLLC was last updated on April 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.