Healthcare Provider Details

I. General information

NPI: 1619663234
Provider Name (Legal Business Name): PATRICE QUADREL DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/17/2023
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2512 E VISTOSO COMMERCE LOOP
ORO VALLEY AZ
85755-9117
US

IV. Provider business mailing address

4875 E CLOUD NINE DR
TUCSON AZ
85739-4316
US

V. Phone/Fax

Practice location:
  • Phone: 520-500-8457
  • Fax:
Mailing address:
  • Phone: 970-492-5031
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberD011917
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: