Healthcare Provider Details

I. General information

NPI: 1245542752
Provider Name (Legal Business Name): NATALIA I MAKAROVA DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2010
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

86 W ESPERANZA BLVD STE 200
GREEN VALLEY AZ
85614-2879
US

IV. Provider business mailing address

86 W ESPERANZA BLVD STE 200
GREEN VALLEY AZ
85614-2879
US

V. Phone/Fax

Practice location:
  • Phone: 520-625-7790
  • Fax: 520-339-6768
Mailing address:
  • Phone: 520-625-7790
  • Fax: 520-339-6768

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberD9337
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberD012803
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: