Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BLACK CANYON CITY DENTISTRY LLC
Active OrganizationBLACK CANYON CITY DENTISTRY LLC is a Dentist organization located in BLACK CANYON CITY, Arizona. NPI 1639380363 is currently active in the NPPES registry. Verify at CMS.
Dentist · BLACK CANYON CITY, AZ
Registration Details
- NPI Number
- 1639380363
- Provider Type
- Organization
- NPI Issued
- May 24, 2007 (19.234219303479 yrs)
- Last Updated
- Aug 22, 2020
- License
-
05797 (AZ)
Practice Information
- Address
-
34501 S OLD BLACK CANYON CITY HIGHWAYSUITE 5BLACK CANYON CITY, AZ, 85324Browse AZ providers · Browse ZIP 85324
- Phone
- 6233740855
- Fax
- 6233740854
- Primary Specialty
-
Dentist
122300000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.