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Arizona Dental Professionals, P.C.

General Practice Dentistry in Green Valley, AZ · enumerated 2014 · authorized official Kim Wilson, Cred Supervisor.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1396148789

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Registry record

Entity type Organization (Type 2)
Legal business name Arizona Dental Professionals, P.C.
Other name <Unavail>
Parent organization Arizona Dental Professionals, P.C.
Practice address 140 W Duval Mine Rd, Green Valley, AZ, 85614
Phone (520) 393-0006
Fax (520) 547-3039
Enumeration date Sep 30, 2014
Last updated in NPPES Mar 19, 2019

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers Primary

Authorized official

Name Kim Wilson
Title Cred Supervisor
Phone (217) 540-5170

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Arizona Dental Professionals, P.C.?
NPPES lists Kim Wilson (Cred Supervisor) as the authorized official for this organization.
What is the NPI number for Arizona Dental Professionals, P.C.?
The NPI for Arizona Dental Professionals, P.C. is 1396148789, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-03-19.