| Sage Dental Clinic | |
|
Highway 264 & Junction 191 Ganado AZ 86505-0457 | |
| (928) 755-4500 | |
| (928) 755-4659 |
| Full Name | Sage Dental Clinic |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | Highway 264 & Junction 191, Ganado, Arizona |
| Authorized Official Name and Position | Andrea C Curley (MEDIAL STAFF CREDENTIALIST) |
| Authorized Official Contact | 9287554500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sage Dental Clinic Po Box 457 Ganado AZ 86505-0457 Ph: (928) 755-4500 | Sage Dental Clinic Highway 264 & Junction 191 Ganado AZ 86505-0457 Ph: (928) 755-4500 |
| NPI Number | 1801013487 |
|---|---|
| Provider Enumeration Date | 04/18/2007 |
| Last Update Date | 06/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801013487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | RGH3899 (Arizona) | Primary |