MEDICARE: KARINA MARIE HEILBRON DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	D012817	AZ

General Provider Information

NPI Number	:	1174457378
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARINA MARIE HEILBRON DMD

Provider Business Mailing Address
First Line	:	4858 E 4TH ST
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85711-2106
Country	:	US
Telephone Number	:	786-863-1031
Fax Number	:

Provider Business Practice Location Address
First Line	:	1060 S HARRISON RD STE 110
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85748-6603
Country	:	US
Telephone Number	:	520-450-5526
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2026
Last Update Date	:	06/11/2026

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