Provider Demographics
NPI:1578636866
Name:SILVERBELL DENTAL
Entity Type:Organization
Organization Name:SILVERBELL DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:STANLEY
Authorized Official - Middle Name:P
Authorized Official - Last Name:BAIRD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-628-4222
Mailing Address - Street 1:1370 N SILVERBELL RD
Mailing Address - Street 2:SUITE #190
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85745-2288
Mailing Address - Country:US
Mailing Address - Phone:520-628-4222
Mailing Address - Fax:520-628-4223
Practice Address - Street 1:1370 N SILVERBELL RD
Practice Address - Street 2:SUITE #190
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85745-2288
Practice Address - Country:US
Practice Address - Phone:520-628-4222
Practice Address - Fax:520-628-4223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ89151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty