| Canyon Vista Dental | |
|
1993 S Frontage Road Suite 208 Sierra Vista AZ 85635 | |
| (520) 458-4646 | |
| Not Available |
| Full Name | Canyon Vista Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1993 S Frontage Road, Sierra Vista, Arizona |
| Authorized Official Name and Position | Marvin Blane Jackson (DDS/OWNER) |
| Authorized Official Contact | 4356372100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canyon Vista Dental 230 N Fairground Road Price UT 84501 Ph: (435) 637-2100 | Canyon Vista Dental 1993 S Frontage Road Suite 208 Sierra Vista AZ 85635 Ph: (520) 458-4646 |
| NPI Number | 1518515212 |
|---|---|
| Provider Enumeration Date | 08/27/2019 |
| Last Update Date | 08/27/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518515212 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Alan P Kawakami Dds Pc Dental Clinic Medicare: Medicare Enrolled Practice Location: 2700 E Fry Blvd, Suite B-9, Sierra Vista, AZ 85635 Phone: 520-459-1600 Fax: 520-459-5763 | |
Advanced Dentistrypllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1236 E Fry Blvd, Sierra Vista, AZ 85635 Phone: 520-458-9460 Fax: 520-458-9461 | |
Oasis Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 126, South Coronado Drive, Suite A, Sierra Vista, AZ 85635 Phone: 520-335-1756 Fax: 520-335-1795 | |
Desert Vista Orthodontics, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2107 Paseo San Luis, Sierra Vista, AZ 85635 Phone: 520-732-8631 Fax: 520-459-0113 | |
Healthy Smiles Dentistry Of Sierra Vista, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2151 S Highway 92 Ste 109, Sierra Vista, AZ 85635 Phone: 520-685-3850 Fax: 520-685-3756 | |
Sierra Vista Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4990 E. Mediterranean Dr., Suite A, Sierra Vista, AZ 85635 Phone: 520-459-3067 Fax: 520-459-0113 | |
Sierra Vista Endodontics P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2151 S Hwy 92, Ste #103, Sierra Vista, AZ 85635 Phone: 520-417-0311 |