| Page Dental Center | |
|
112 Sixth Avenue Page AZ 86040-1956 | |
| (928) 645-3206 | |
| (928) 645-9139 |
| Full Name | Page Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 112 Sixth Avenue, Page, Arizona |
| Authorized Official Name and Position | Jeffrey S Gifford (PRESIDENT) |
| Authorized Official Contact | 9286453206 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Page Dental Center Po Box 1956 112 Sixth Avenue Page AZ 86040-1956 Ph: (928) 645-3206 | Page Dental Center 112 Sixth Avenue Page AZ 86040-1956 Ph: (928) 645-3206 |
| NPI Number | 1164689139 |
|---|---|
| Provider Enumeration Date | 05/19/2008 |
| Last Update Date | 12/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164689139 | NPI | - | NPPES |
| 084004 | Medicaid | AZ | |
| 283845 | Medicaid | AZ | |
| 086274 | Medicaid | AZ |
Lake Powell Dental Center, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 436 Vista Avenue, Box 1956, Page, AZ 86040 Phone: 928-645-2505 Fax: 928-645-6820 | |
Page Orthodontics Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 6th Ave, Page, AZ 86040 Phone: 928-640-3084 |