KKTZ DENTAL PLLC
NPI 1093288334
Dentist - General Practice in Fort Mohave, AZ

Q: What is Kktz Dental PLLC's NPI number?

The NPI number for Kktz Dental PLLC is 1093288334. It was assigned to this organization in the NPPES registry on January 9, 2019.

Q: What is Kktz Dental PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Kktz Dental PLLC was last updated on January 9, 2019. 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.

Active since January 09, 2019

5221 S HIGHWAY 95 STE 4, FORT MOHAVE, AZ 86426(928) 577-2533(928) 577-2518 Get Directions Write a Review

NPPES record last updated: January 9, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kktz Dental Pllc NPPES

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

KKTZ DENTAL PLLC (NPI 1093288334) is a healthcare organization registered as a general practice in Fort Mohave, Arizona and active in the NPI registry since January 2019. The organization maintains a secondary practice location in Kingman and lists Gayle Jennings, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1093288334

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameKKTZ DENTAL PLLC

Location Address5221 S HIGHWAY 95 STE 4Fort Mohave, AZ 86426-9244

Mailing Address5221 S Highway 95 Ste 4Fort Mohave, AZ 86426-9244 · (928) 577-2533 · Fax (928) 577-2518

Phone(928) 577-2533

Fax(928) 577-2518

Organization SubpartYes

Authorized OfficialGayle JenningsOffice Manager · (928) 577-2533

Enumeration DateJanuary 9, 2019

✔ NPI 1093288334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

5221 S HIGHWAY 95 STE 4, Fort Mohave, AZ 86426

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Secondary Practice Location 1

Location 14601 N Stockton Hill RdKingman, AZ 86409-1756 · Phone (928) 757-3225

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Kktz Dental PLLC's NPI number?

The NPI number for Kktz Dental PLLC is 1093288334. It was assigned to this organization in the NPPES registry on January 9, 2019.

Where is Kktz Dental PLLC located?

Kktz Dental PLLC is located at 5221 S Highway 95 Ste 4, Fort Mohave, AZ 86426. The listed phone number is (928) 577-2533.

What is Kktz Dental PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Kktz Dental PLLC was last updated on January 9, 2019. 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.