PAGE DENTAL CENTER NPI 1164689139

NPI Information

PAGE DENTAL CENTER is a general practice dentist in Page, AZ. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. PAGE DENTAL CENTER NPI is 1164689139. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

112 SIXTH AVENUE
PAGE, AZ
ZIP 86040-956
Phone: (928) 645-3206
Fax: (928) 645-9139

The provider's authorized official is Jeffrey S Gifford .
The authorized official title is President and has the following contact phone number (928) 645-3206.

The enumeration date for this NPI number is 5/19/2008 and was last updated on 12/17/2008.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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