MEDICARE: DESERT SPRINGS FAMILY DENTISTRY P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	4346	AZ

General Provider Information

NPI Number	:	1093082547
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DESERT SPRINGS FAMILY DENTISTRY P.C.

Provider Business Mailing Address
First Line	:	7320 N LA CHOLLA BLVD
Second Line	:	SUITE 134
City	:	TUCSON
State	:	AZ
Zip	:	85741-2309
Country	:	US
Telephone Number	:	520-575-5900
Fax Number	:	520-575-9233

Provider Business Practice Location Address
First Line	:	7320 N LA CHOLLA BLVD
Second Line	:	SUITE 134
City	:	TUCSON
State	:	AZ
Zip	:	85741-2309
Country	:	US
Telephone Number	:	520-575-5900
Fax Number	:	520-575-9233

Authorized Official
Title or Position	:	OWNER/DENTIST
Name	:	DR. R. ANTHONY BURROWS
Credential	:	DDS
Telephone Number	:	520-575-5900

Provider Enumeration Date	:	11/29/2011
Last Update Date	:	11/29/2011

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