| Southwest Dental Anesthesia Services | |
|
4723 East Camp Lowell Drive Tucson AZ 85712-1256 | |
| (520) 571-7951 | |
| (520) 571-7999 |
| Full Name | Southwest Dental Anesthesia Services |
|---|---|
| Speciality | Dentist |
| Location | 4723 East Camp Lowell Drive, Tucson, Arizona |
| Authorized Official Name and Position | Anthony Charles Caputo (PRESIDENT DENTIST ANESTHESIOLOGIST) |
| Authorized Official Contact | 5205717951 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Dental Anesthesia Services 4723 East Camp Lowell Drive Tucson AZ 85712-1256 Ph: (520) 571-7951 | Southwest Dental Anesthesia Services 4723 East Camp Lowell Drive Tucson AZ 85712-1256 Ph: (520) 571-7951 |
| NPI Number | 1912079260 |
|---|---|
| Provider Enumeration Date | 11/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912079260 | NPI | - | NPPES |
| 387002 | Other | AZ | AHCCCS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 14770 (Arizona) | Primary |
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