| Lin Peng, DMD | |
|
167 N Main Street, Tuba City, AZ 86045 | |
| (928) 283-2510 | |
| Not Available |
| Full Name | Lin Peng |
|---|---|
| Gender | Female |
| Speciality | Dentist |
| Location | 167 N Main Street, Tuba City, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750908075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 10489 (Kentucky) | Primary |
| Entity Name | St. Claire Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821168535 PECOS PAC ID: 4486559085 Enrollment ID: O20031205000579 |
| Mailing Address | Practice Location Address |
|---|---|
| Lin Peng, DMD 787 Lakeside Dr, Jackson, KY 41339-7486 Ph: (646) 407-0233 | Lin Peng, DMD 167 N Main Street, Tuba City, AZ 86045 Ph: (928) 283-2510 |
Dr. Kyle Minter Parks, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 167 N Main St., Tuba City, AZ 86045 Phone: 928-283-2672 | |
Dr. Hannah Noel Despain, DMD Dentist Medicare: Medicare Enrolled Practice Location: 167 Main Street, Tuba City, AZ 86045 Phone: 502-851-2734 | |
Ivan F Pacheco, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677 | |
Dr. Kristin Elizabeth Salamon, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 167 N Main St, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677 | |
Robert A Palmer, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677 | |
Teresa Diane Kilborn, D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 167 N. Main Street, Tuba City, AZ 86045 Phone: 928-283-2590 Fax: 928-283-2591 | |
Christina L. Zeigler, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 167 N. Main St, Tuba City, AZ 86045 Phone: 928-283-2672 Fax: 928-283-2991 |