CATALINA FOOTHILLS FAMILY DENTAL, LLC
NPI 1649856246
Dentist - General Practice in Tucson, AZ

Active since March 23, 2021
3986 N CAMPBELL AVE, TUCSON, AZ 85719(520) 795-3418 Get Directions Write a Review

NPPES record last updated: March 23, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Catalina Foothills Family Dental, Llc NPPES

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

CATALINA FOOTHILLS FAMILY DENTAL, LLC (NPI 1649856246), doing business as Catalina Foothills Family Dental, is a healthcare organization registered as a general practice in Tucson, Arizona and active in the NPI registry since March 2021. The organization lists Lynne K Miller, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1649856246
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCATALINA FOOTHILLS FAMILY DENTAL, LLC
Location Address3986 N CAMPBELL AVETucson, AZ 85719-1461
Mailing Address3986 N Campbell AveTucson, AZ 85719-1461 · (520) 795-3418 · Fax (520) 795-3010
Organization SubpartNo
Authorized OfficialLynne K MillerOffice Manager · (520) 891-0817
Enumeration DateMarch 23, 2021
NPPES CertifiedMarch 23, 2021
NPI 1649856246 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.
3986 N CAMPBELL AVE, Tucson, AZ 85719

Other Names 3

Doing Business AsCatalina Foothills Family Dental
Other NameJonathan S. Icely
Other NameMark A Larsen

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

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

Dentist
3986 N CAMPBELL AVE
TUCSON, AZ 85719

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 Catalina Foothills Family Dental, LLC's NPI number?

The NPI number for Catalina Foothills Family Dental, LLC is 1649856246. It was assigned to this organization in the NPPES registry on March 23, 2021. The provider is doing business as Catalina Foothills Family Dental. The provider is also known as Jonathan S. Icely and Mark A Larsen.

Where is Catalina Foothills Family Dental, LLC located?

Catalina Foothills Family Dental, LLC is located at 3986 N Campbell Ave, Tucson, AZ 85719. The listed phone number is (520) 795-3418.

What is Catalina Foothills Family Dental, LLC'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 Catalina Foothills Family Dental, LLC was last updated on March 23, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.