Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Canyon Dental Group, PLLC

Organization Dentist · NPI 1619363694

Canyon Dental Group, PLLC is a Dentist in Tucson, Arizona. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4001 E Broadway Blvd
Tucson, AZ 85711-3454
Phone: (520) 323-2600
Fax: (520) 323-2800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1619363694
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Berkley Hall — Owner · (520) 323-2600
NPI enumeratedApril 7, 2015
Last updated in NPPESApril 7, 2015
Mailing address4001 E Broadway Blvd, Tucson, AZ 85711-3454

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