Provider Demographics
NPI:1093082547
Name:DESERT SPRINGS FAMILY DENTISTRY P.C.
Entity Type:Organization
Organization Name:DESERT SPRINGS FAMILY DENTISTRY P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:R. ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:BURROWS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:520-575-5900
Mailing Address - Street 1:7320 N LA CHOLLA BLVD
Mailing Address - Street 2:SUITE 134
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85741-2309
Mailing Address - Country:US
Mailing Address - Phone:520-575-5900
Mailing Address - Fax:520-575-9233
Practice Address - Street 1:7320 N LA CHOLLA BLVD
Practice Address - Street 2:SUITE 134
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85741-2309
Practice Address - Country:US
Practice Address - Phone:520-575-5900
Practice Address - Fax:520-575-9233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-29
Last Update Date:2011-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ43461223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty