Healthcare Provider Details

I. General information

NPI: 1639098304
Provider Name (Legal Business Name): RAY E HELMS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4888 N STONE AVE
TUCSON AZ
85704-5749
US

IV. Provider business mailing address

3641 W ETHAN CROSSING LN
TUCSON AZ
85741-3266
US

V. Phone/Fax

Practice location:
  • Phone: 520-670-3909
  • Fax:
Mailing address:
  • Phone: 520-982-4281
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License NumberH06239
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: