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HAVASU DENTISTRY
NPI 1396198263
Dentist - General Practice in Lake Havasu City, AZ

Active since July 15, 2016
1971 MCCULLOCH BLVD N, #100, LAKE HAVASU CITY, AZ 86403(928) 733-6070(928) 733-6075 Get Directions Write a Review

NPPES record last updated: July 15, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Havasu Dentistry NPPES

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

HAVASU DENTISTRY (NPI 1396198263) is a healthcare organization registered as a general practice in Lake Havasu City, Arizona and active in the NPI registry since July 2016. The organization lists Laura Vaughn, Manager, as its authorized official.

NPPES Registry Identity

NPI1396198263
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLAKE HAVASU DENTISTRY
Location Address1971 MCCULLOCH BLVD N, #100Lake Havasu City, AZ 86403-6117
Mailing Address1971 Mcculloch Blvd N, #100Lake Havasu City, AZ 86403-6117
Phone(928) 733-6070
Fax(928) 733-6075
Organization SubpartNo
Authorized OfficialLaura VaughnManager · (928) 733-6070
Enumeration DateJuly 15, 2016
✔ NPI 1396198263 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.
1971 MCCULLOCH BLVD N, Lake Havasu City, AZ 86403
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Other Names 1

Doing Business AsHavasu Dentistry

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES

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

DR. JUSTIN KIRCH D.D.S.
Dentist
1971 MCCULLOCH BLVD N, SUITE 100
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 733-6070

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 Lake Havasu Dentistry's NPI number?

The NPI number for Lake Havasu Dentistry is 1396198263. It was assigned to this organization in the NPPES registry on July 15, 2016. The provider is doing business as Havasu Dentistry.

Where is Lake Havasu Dentistry located?

Lake Havasu Dentistry is located at 1971 Mcculloch Blvd N #100, Lake Havasu City, AZ 86403. The listed phone number is (928) 733-6070.

What is Lake Havasu Dentistry's specialty?

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

What insurance does Lake Havasu Dentistry accept?

Health plans from Ambetter from Arizona Complete Health and UnitedHealthcare list Lake Havasu Dentistry as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lake Havasu Dentistry was last updated on July 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.