| Joe D. Ditterline, D.m.d., P.c. | |
|
667 E Mingus Ave Cottonwood AZ 86326-3760 | |
| (928) 634-7585 | |
| (928) 634-7257 |
| Full Name | Joe D. Ditterline, D.m.d., P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 667 E Mingus Ave, Cottonwood, Arizona |
| Authorized Official Name and Position | Joe Dale Ditterline (OWNER) |
| Authorized Official Contact | 9286347585 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joe D. Ditterline, D.m.d., P.c. 667 E Mingus Ave Cottonwood AZ 86326-3760 Ph: (928) 634-7585 | Joe D. Ditterline, D.m.d., P.c. 667 E Mingus Ave Cottonwood AZ 86326-3760 Ph: (928) 634-7585 |
| NPI Number | 1568517597 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568517597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D4395 (Arizona) | Primary |
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