Provider Demographics
NPI:1962690081
Name:R. TODD HAFT, D.D.S.,P.C.
Entity type:Organization
Organization Name:R. TODD HAFT, D.D.S.,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:R
Authorized Official - Middle Name:TODD
Authorized Official - Last Name:HAFT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:520-825-2195
Mailing Address - Street 1:16215 N ORACLE RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85739-4292
Mailing Address - Country:US
Mailing Address - Phone:520-825-2195
Mailing Address - Fax:520-825-7143
Practice Address - Street 1:16215 N ORACLE RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85739-4292
Practice Address - Country:US
Practice Address - Phone:520-825-2195
Practice Address - Fax:520-825-7143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-15
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ43781223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty