Provider Demographics
NPI:1669612768
Name:DON, DAMON PATRICK (DDS)
Entity type:Individual
Prefix:DR
First Name:DAMON
Middle Name:PATRICK
Last Name:DON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6027 E GRANT RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-2316
Mailing Address - Country:US
Mailing Address - Phone:520-886-2309
Mailing Address - Fax:520-885-6827
Practice Address - Street 1:6027 E GRANT RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-2316
Practice Address - Country:US
Practice Address - Phone:520-886-2309
Practice Address - Fax:520-885-6827
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-02
Last Update Date:2009-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAZ36971223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics