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

Southern Arizona Periodontics PLC

Organization Periodontics · NPI 1417055294

Southern Arizona Periodontics PLC is a Periodontics in Tucson, Arizona. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006
Specialties on file
2

Practice location Address checks out

5225 E Knight Dr Ste #401
Tucson, AZ 85712
Phone: (520) 322-9300
Fax: (520) 322-6889
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 4087 (AZ)
Periodontics Taxonomy 1223P0300X · Licence 2591 (AZ)

Record details

NPI number1417055294
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacqueline Greenwall — Office Manager · (520) 322-9300
Other names Cole And Sharp Plc
NPI enumeratedSeptember 20, 2006
Last updated in NPPESAugust 22, 2020
Mailing address5225 E Knight Dr, Ste #401, Tucson, AZ 85712

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