Provider Demographics
NPI:1003009812
Name:ADOBE DENTISTRY, INC.
Entity Type:Organization
Organization Name:ADOBE DENTISTRY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:E
Authorized Official - Last Name:STOLCIS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:520-323-9327
Mailing Address - Street 1:1640 N COUNTRY CLUB RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85716-3119
Mailing Address - Country:US
Mailing Address - Phone:520-323-9327
Mailing Address - Fax:
Practice Address - Street 1:1640 N COUNTRY CLUB RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85716-3119
Practice Address - Country:US
Practice Address - Phone:520-323-9327
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-24
Last Update Date:2007-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ49211223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty