Healthcare Provider Details

I. General information

NPI: 1679762777
Provider Name (Legal Business Name): JAMES M. FLYNN D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/15/2007
Last Update Date: 10/04/2024
Certification Date: 10/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1640 E RIVER RD STE 12
TUCSON AZ
85718-7644
US

IV. Provider business mailing address

12337 N CLOUD RIDGE DR
ORO VALLEY AZ
85755-6563
US

V. Phone/Fax

Practice location:
  • Phone: 520-299-4470
  • Fax:
Mailing address:
  • Phone: 520-575-9449
  • Fax: 520-469-9922

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number5690
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: