TUCSON DENTAL ANESTHESIA PLLC
NPI 1811736457
Dentist - Dentist Anesthesiologist in Tucson, AZ

Q: What is Tucson Dental Anesthesia PLLC's NPI number?

The NPI number for Tucson Dental Anesthesia PLLC is 1811736457. It was assigned to this organization in the NPPES registry on May 22, 2024.

Q: What is Tucson Dental Anesthesia PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dentist Anesthesiologist, with taxonomy code 1223D0004X.

Active since May 22, 2024

6422 E SPEEDWAY BLVD STE 140, TUCSON, AZ 85710(208) 559-6122 Get Directions Write a Review

NPPES record last updated: May 22, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Tucson Dental Anesthesia Pllc NPPES

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

TUCSON DENTAL ANESTHESIA PLLC (NPI 1811736457) is a healthcare organization registered as a dentist anesthesiologist in Tucson, Arizona and active in the NPI registry since May 2024. The organization lists Jeremy Bonander, Owner, as its authorized official.

NPPES Registry Identity

NPI1811736457

Entity TypeOrganization

Primary Taxonomy1223D0004X

Legal Business NameTUCSON DENTAL ANESTHESIA PLLC

Location Address6422 E SPEEDWAY BLVD STE 140Tucson, AZ 85710-1148

Mailing Address1370 N Silverbell Rd Ste #140, Pmb #178Tucson, AZ 85745 · (208) 559-6122

Phone(208) 559-6122

Organization SubpartNo

Authorized OfficialJeremy BonanderOwner · (208) 559-6122

Enumeration DateMay 22, 2024

NPPES CertifiedMay 22, 2024

✔ NPI 1811736457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Dentist AnesthesiologistDental Providers

Taxonomy Code1223D0004X

Definition

A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.

6422 E SPEEDWAY BLVD STE 140, Tucson, AZ 85710

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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

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 Tucson Dental Anesthesia PLLC's NPI number?

The NPI number for Tucson Dental Anesthesia PLLC is 1811736457. It was assigned to this organization in the NPPES registry on May 22, 2024.

Where is Tucson Dental Anesthesia PLLC located?

Tucson Dental Anesthesia PLLC is located at 6422 E Speedway Blvd Ste 140, Tucson, AZ 85710. The listed phone number is (208) 559-6122.

What is Tucson Dental Anesthesia PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dentist Anesthesiologist, with taxonomy code 1223D0004X.

When was this NPI record last updated?

The NPPES record for Tucson Dental Anesthesia PLLC was last updated on May 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.