WHITE MOUNTAIN DENTISTRY NPI 1942524335

NPI Information

WHITE MOUNTAIN DENTISTRY is a point of service in Snowflake, AZ. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. WHITE MOUNTAIN DENTISTRY NPI is 1942524335. The provider is registered as an organization entity type.

The provider's business location address is:

986 S MAIN ST
SNOWFLAKE, AZ
ZIP 85937-500
Phone: (928) 536-5353
Fax: (928) 536-5753

The provider's authorized official is Benjamin L Tenney .
The authorized official title is Owner and has the following contact phone number (928) 536-5353.

The enumeration date for this NPI number is 3/15/2010 and was last updated on 3/15/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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