| Carl Peiser, D.d.s. | |
|
1525 South Creel Ave Pinetop AZ 85935 | |
| (928) 367-1682 | |
| (928) 367-2702 |
| Full Name | Carl Peiser, D.d.s. |
|---|---|
| Speciality | Dentist |
| Location | 1525 South Creel Ave, Pinetop, Arizona |
| Authorized Official Name and Position | Carl J Peiser (OWNER) |
| Authorized Official Contact | 9283671682 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carl Peiser, D.d.s. Po Box 312 Pinetop AZ 85935-0312 Ph: (928) 367-1682 | Carl Peiser, D.d.s. 1525 South Creel Ave Pinetop AZ 85935 Ph: (928) 367-1682 |
| NPI Number | 1013109727 |
|---|---|
| Provider Enumeration Date | 08/16/2007 |
| Last Update Date | 08/16/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013109727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 1724 (Arizona) | Primary |
Blue Ridge Family Dentistry, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1450 E White Mountain Blvd Ste A, Pinetop, AZ 85935 Phone: 928-367-4466 |