| Whiteriver Service Unit Dental Clinic | |
|
200 West Hospital Way Whiteriver AZ 85941-0860 | |
| (928) 338-4911 | |
| (928) 338-5508 |
| Full Name | Whiteriver Service Unit Dental Clinic |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 200 West Hospital Way, Whiteriver, Arizona |
| Authorized Official Name and Position | Michelle Martinez (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9283384911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Whiteriver Service Unit Dental Clinic Po Box 860 200 West Hospital Drive Whiteriver AZ 85941-0860 Ph: (928) 338-4911 | Whiteriver Service Unit Dental Clinic 200 West Hospital Way Whiteriver AZ 85941-0860 Ph: (928) 338-4911 |
| NPI Number | 1144347501 |
|---|---|
| Provider Enumeration Date | 03/23/2007 |
| Last Update Date | 12/27/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144347501 | NPI | - | NPPES |
| 020561 | Medicaid | AZ | |
| 092403-01 | Medicaid | AZ | |
| AZ0109760 | Other | AZ | BC DENTAL |
Whiteriver Indian Hospital Dental Clinic Medicare: Medicare Enrolled Practice Location: 200 West Hospital Drive, Whiteriver, AZ 85941 Phone: 928-338-4911 Fax: 928-338-5508 |