Healthcare Provider Details

I. General information

NPI: 1174457378
Provider Name (Legal Business Name): KARINA MARIE HEILBRON DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1060 S HARRISON RD STE 110
TUCSON AZ
85748-6603
US

IV. Provider business mailing address

4858 E 4TH ST
TUCSON AZ
85711-2106
US

V. Phone/Fax

Practice location:
  • Phone: 520-450-5526
  • Fax:
Mailing address:
  • Phone: 786-863-1031
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberD012817
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: