Kent Tuttle, DMD is a medicare enrolled "Dentist" provider in Young, Arizona. His current practice location is
117 E Hazelwood Rd Unit 21, Young, Arizona. You can reach out to his office (for appointments etc.) via phone at
(916) 990-5490.
Kent Tuttle is licensed to practice in Arizona (license number D009351) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1497121362.
Healthcare Provider's Profile
Full Name | Kent Tuttle |
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Gender | Male |
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Speciality | Dentist |
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Location | 117 E Hazelwood Rd Unit 21, Young, Arizona |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1497121362
- Provider Enumeration Date: 08/14/2015
- Last Update Date: 04/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 8426336157
- Enrollment ID: I20161031001084
Medical Identifiers
Medical identifiers for Kent Tuttle such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497121362 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | DEN-DEN-LIC-9636 (Montana) | Secondary |
122300000X | Dentist | D009351 (Arizona) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kent Tuttle is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kent Tuttle, DMD 117 E Hazelwood Rd Unit 21, Young, AZ 85554-0666 Ph: (916) 990-5490 | Kent Tuttle, DMD 117 E Hazelwood Rd Unit 21, Young, AZ 85554-0666 Ph: (916) 990-5490 |
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