NPI: 1487794798
Provider Name: ON SITE DENTAL, PC
Other Name: ON SITE DENTAL, NEW MEXICO
Classification: Dentist - 1223P0221X
Entity Type: Organization
Specialization: Pediatric Dentistry
Address:
1996 DOUGS PARK RD
CAMP VERDE, AZ
ZIP 86322
Phone: (928) 567-1832
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ON SITE DENTAL, PC is a pediatric dentistry dentist in Camp Verde, AZ. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. ON SITE DENTAL, PC NPI is 1487794798. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is On Site Dental, New Mexico.
The provider's business location address is:
1996 DOUGS PARK RD
CAMP VERDE, AZ
ZIP 86322
Phone: (928) 567-1832
Fax: (928) 567-6500
The provider's authorized official is James J. Hisrich .
The authorized official title is President and has the following contact phone number (928) 567-1832.
The enumeration date for this NPI number is 2/7/2007 and was last updated on 8/22/2020.