OrganizationActive
Southern Arizona Periodontics PLC
NPI 1417055294 · Periodontics · Tucson, AZ
Southern Arizona Periodontics PLC is a Periodontics organization in Tucson, AZ (NPI 1417055294).
Provider details
- NPI number
- 1417055294
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Jacqueline Greenwall, Office Manager(520) 322-9300
- License
- 2591 (AZ)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
5225 E Knight Dr
Ste #401
Tucson, AZ 85712
Phone: (520) 322-9300
Fax: (520) 322-6889
Street-level locationGet directions
Mailing address
5225 E Knight Dr
Tucson, AZ 85712
Other names (DBA / former)
- Former legal business name
- Cole and Sharp PLC
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2020-08-22
Frequently asked questions
- What is Southern Arizona Periodontics PLC's NPI number?
- Southern Arizona Periodontics PLC's National Provider Identifier (NPI) is 1417055294, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Arizona Periodontics PLC?
- Southern Arizona Periodontics PLC is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Southern Arizona Periodontics PLC located?
- Southern Arizona Periodontics PLC's practice location on file with NPPES is 5225 E Knight Dr, Tucson, AZ 85712.
- What is Southern Arizona Periodontics PLC's phone number?
- The practice phone number listed in the NPPES registry for Southern Arizona Periodontics PLC is (520) 322-9300.
- Who is the authorized official for Southern Arizona Periodontics PLC?
- The authorized official listed on Southern Arizona Periodontics PLC's NPPES record is Jacqueline Greenwall, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Arizona Periodontics PLC's NPI active?
- Yes — Southern Arizona Periodontics PLC's NPI (1417055294) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.