Healthcare Provider Details
I. General information
NPI: 1023949187
Provider Name (Legal Business Name): TUCSON SMILES RITA RANCH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8265 S HOUGHTON RD STE 131
TUCSON AZ
85747-9701
US
IV. Provider business mailing address
8265 S HOUGHTON RD STE 131
TUCSON AZ
85747-9701
US
V. Phone/Fax
- Phone: 520-664-9000
- Fax:
- Phone: 520-664-9000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223P0221X |
| Taxonomy | Pediatric Dentistry |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ISRAEL
SAINTIL
Title or Position: DENTIST/OWNER
Credential: DDS
Phone: 732-688-1768