Gregory Valacich, DDS
Dentist, General Practice in Tucson, AZ. Individual provider (NPI-1).
NPI number1104912906
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1104912906
- Entity type
- Individual (NPI-1)
- Name
- Gregory Valacich
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 5, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 2950 | AZ | Yes |
Practice location
4890 S Mission RdTucson, AZ 85746-1100
Phone 520-908-8797 · Fax 520-908-8937
Mailing address
4890 S Mission RdTucson, AZ 85746-1100
Phone 520-908-8797 · Fax 520-908-8937
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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