| Our Family Dentist-dewey | |
|
150 S State Route 69 Suite 5f Dewey AZ 86327-9502 | |
| (928) 632-8333 | |
| (928) 632-5537 |
| Full Name | Our Family Dentist-dewey |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 150 S State Route 69, Dewey, Arizona |
| Authorized Official Name and Position | Michael Orrin Baird (PRESIDENT) |
| Authorized Official Contact | 9286328333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Our Family Dentist-dewey 150 S State Route 69 Suite 5f Dewey AZ 86327-9502 Ph: (928) 632-8333 | Our Family Dentist-dewey 150 S State Route 69 Suite 5f Dewey AZ 86327-9502 Ph: (928) 632-8333 |
| NPI Number | 1912022039 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912022039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D6645 (Arizona) | Primary |
Vallejo Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12075 E State Route 69 Ste 9, Dewey, AZ 86327 Phone: 928-277-0142 Fax: 928-277-0151 |