Healthcare Provider Details

I. General information

NPI: 1851456057
Provider Name (Legal Business Name): MICHAEL TOY DON DDS, MS,PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2006
Last Update Date: 03/17/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6027 E GRANT RD
TUCSON AZ
85712-2316
US

IV. Provider business mailing address

6027 E GRANT RD
TUCSON AZ
85712-2316
US

V. Phone/Fax

Practice location:
  • Phone: 520-885-0344
  • Fax: 520-885-6827
Mailing address:
  • Phone: 520-885-0344
  • Fax: 520-885-6827

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number2438
License Number StateAZ

VIII. Authorized Official

Name: DR. MICHAEL TOY DON
Title or Position: PRESIDENT,ORTHODONTIST
Credential: D.D.S.,M.S.
Phone: 520-885-0344