OrganizationActive
Dhhs-Phs, Ihs Tucson Area, Ihs Tucson Santa Rosa Clinic
NPI 1164407870 · Dental Assistant · Santa Rosa Village, AZ
Provider details
- NPI number
- 1164407870
- Entity type
- Organization
- Primary specialty
- Dental AssistantDental Providers
- Organization subpart
- No
- Authorized official
- Kurt Priessman, Accounting and Budget Officer(520) 295-2427
Specialties & taxonomies
Dental Providers
- Public Health Dentistry1223D0001X
Dental Providers
- Pediatric Dentistry1223P0221X
Dental Providers
- Dental Hygienist124Q00000X
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Federal Route 15
Santa Rosa Village, AZ 85634
Phone: (520) 383-5570
Fax: (520) 383-5572
Approximate (ZIP-level) locationGet directions
Mailing address
7900 S J Stock Rd
Tucson, AZ 85746-7012
Other names (DBA / former)
- Doing business as
- Santa Rosa Dental Clinic
Registry dates
- Enumerated
- 2005-12-14
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.