Search › Arizona › 122300000X
Jonathan Icely, DMD
NPI 1447602016 · on the registry since 2016 · sole proprietor
Practice
- Address
- 9000 N Oracle Rd
Tucson, AZ 85704 - Phone
- (520) 297-2007
- Organisation at this address
- Interconnect Health, Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-07-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona