OrganizationActive
Canyon Dental Group, PLLC
NPI 1619363694 · Dentist · Tucson, AZ
Canyon Dental Group, PLLC is a Dentist organization in Tucson, AZ (NPI 1619363694).
Provider details
- NPI number
- 1619363694
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Berkley Hall, Owner(520) 323-2600
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
4001 E Broadway Blvd
Tucson, AZ 85711-3454
Phone: (520) 323-2600
Fax: (520) 323-2800
Street-level locationGet directions
Mailing address
4001 E Broadway Blvd
Tucson, AZ 85711-3454
Registry dates
- Enumerated
- 2015-04-07
- Last updated
- 2015-04-07
Frequently asked questions
- What is Canyon Dental Group, PLLC's NPI number?
- Canyon Dental Group, PLLC's National Provider Identifier (NPI) is 1619363694, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Canyon Dental Group, PLLC?
- Canyon Dental Group, PLLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Canyon Dental Group, PLLC located?
- Canyon Dental Group, PLLC's practice location on file with NPPES is 4001 E Broadway Blvd, Tucson, AZ 85711-3454.
- What is Canyon Dental Group, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Canyon Dental Group, PLLC is (520) 323-2600.
- Who is the authorized official for Canyon Dental Group, PLLC?
- The authorized official listed on Canyon Dental Group, PLLC's NPPES record is Berkley Hall, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Canyon Dental Group, PLLC's NPI active?
- Yes — Canyon Dental Group, PLLC's NPI (1619363694) is active in the NPPES registry as of the last update on 2015-04-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.