OLD TOWN GENERAL DENTISTRY & DENTURE LAB NPI 1942672118

NPI Information

  • NPI: 1942672118
  • Provider Name: OLD TOWN GENERAL DENTISTRY & DENTURE LAB
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 542 N MAIN ST
    COTTONWOOD, AZ
    ZIP 86326
  • Phone: (928) 634-8567

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NPI Details

OLD TOWN GENERAL DENTISTRY & DENTURE LAB is a general practice dentist in Cottonwood, 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. OLD TOWN GENERAL DENTISTRY & DENTURE LAB NPI is 1942672118. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

542 N MAIN ST
COTTONWOOD, AZ
ZIP 86326-896
Phone: (928) 634-8567

The provider's authorized official is Jeffrey C Blair .
The authorized official title is Dentist/member and has the following contact phone number (928) 634-8567.

The enumeration date for this NPI number is 10/27/2015 and was last updated on 10/27/2015.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeD4038ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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