MOUNT GRAHAM DENTAL ASSOCIATES PLC NPI 1982379392

NPI Information

NPI: 1982379392
Provider Name: MOUNT GRAHAM DENTAL ASSOCIATES PLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

CLIA Number: 03D0669183

Address:
1530 S 20TH AVE
SAFFORD, AZ
ZIP 85546
Phone: (928) 428-5331
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MOUNT GRAHAM DENTAL ASSOCIATES PLC is a dental clinic center in Safford, AZ. MOUNT GRAHAM DENTAL ASSOCIATES PLC NPI is 1982379392. The provider is registered as an organization entity type.

The provider's business location address is:

1530 S 20TH AVE
SAFFORD, AZ
ZIP 85546-051
Phone: (928) 428-5331
Fax: (928) 428-0992

The provider's authorized official is Eric K Curtis .
The authorized official title is Managing Member and has the following contact phone number (928) 428-5331.

The CLIA number assigned to this NPI record is 03D0669183 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 8/9/2021 and was last updated on 8/9/2021.

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
1	261QD0000X	Clinic/Center	Dental			Yes

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: 11/14/2023

NPI Synchronization or Removal

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