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RUSTIC MOUNTAIN DENTISTRY
NPI 1063983245
Clinic/Center - Dental in Taylor, AZ

Active since December 16, 2018
606 N MAIN STREET, TAYLOR, AZ 85939(928) 457-0758(928) 457-0821 Get Directions Write a Review

NPPES record last updated: December 16, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rustic Mountain Dentistry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RUSTIC MOUNTAIN DENTISTRY (NPI 1063983245) is a healthcare organization registered as a dental in Taylor, Arizona and active in the NPI registry since December 2018. The organization lists Kenneth Houston Davis, Doctor/owner, as its authorized official.

NPPES Registry Identity

NPI1063983245
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameRUSTIC MOUNTAIN DENTISTRY
Location Address606 N MAIN STREETTaylor, AZ 85939-8593
Mailing AddressPo Box 1550Taylor, AZ 85939-1550 · (928) 457-0758 · Fax (928) 457-0821
Phone(928) 457-0758
Fax(928) 457-0821
Organization SubpartNo
Authorized OfficialKenneth Houston DavisDoctor/owner · (928) 457-0758
Enumeration DateDecember 16, 2018
✔ NPI 1063983245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
606 N MAIN STREET, Taylor, AZ 85939
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KENNETH HOUSTON DAVIS DMD
Dentist
606 N MAIN STREET
TAYLOR, AZ 85939
Navajo County (928) 457-0758

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rustic Mountain Dentistry's NPI number?

The NPI number for Rustic Mountain Dentistry is 1063983245. It was assigned to this organization in the NPPES registry on December 16, 2018.

Where is Rustic Mountain Dentistry located?

Rustic Mountain Dentistry is located at 606 N Main Street, Taylor, AZ 85939. The listed phone number is (928) 457-0758.

What is Rustic Mountain Dentistry's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Rustic Mountain Dentistry was last updated on December 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.