MEDICARE: DAMON P. DON

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	1223P0300X	Periodontics	3697	AZ

General Provider Information

NPI Number	:	1992920540
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAMON P. DON

Provider Business Mailing Address
First Line	:	6027 E GRANT RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-2316
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6027 E GRANT RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-2316
Country	:	US
Telephone Number	:	520-886-2309
Fax Number	:

Authorized Official
Title or Position	:	PRES
Name	:	DR. DAMON DON
Credential	:
Telephone Number	:	520-886-2309

Provider Enumeration Date	:	04/16/2007
Last Update Date	:	08/22/2020

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