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ON SITE DENTAL, NEW MEXICO
NPI 1487794798
Dentist - Pediatric Dentistry in Camp Verde, AZ

Active since February 07, 2007
1996 DOUGS PARK RD, CAMP VERDE, AZ 86322(928) 567-1832(928) 567-6500 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About On Site Dental, New Mexico NPPES

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

ON SITE DENTAL, NEW MEXICO (NPI 1487794798) is a healthcare organization registered as a pediatric dentistry in Camp Verde, Arizona and active in the NPI registry since February 2007. The organization lists James J. Hisrich, President, as its authorized official.

NPPES Registry Identity

NPI1487794798
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameON SITE DENTAL, PC
Location Address1996 DOUGS PARK RDCamp Verde, AZ 86322
Mailing AddressPo Box 767Camp Verde, AZ 86322-0767 · (928) 567-1832 · Fax (928) 567-6500
Phone(928) 567-1832
Fax(928) 567-6500
Organization SubpartNo
Authorized OfficialJames J. HisrichPresident · (928) 567-1832
Enumeration DateFebruary 7, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1487794798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
1996 DOUGS PARK RD, Camp Verde, AZ 86322
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Other Names 1

Other NameOn Site Dental, New Mexico

Other Identifiers 2

MedicaidG2381NM
Medicaid723157AZ

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

Other Providers at the Same Location NPPES

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

VICTOR RAFAEL VELLON DDS
Dentist
1996 DOUGS PARK RD
CAMP VERDE, AZ 86322
Yavapai County (928) 567-1832

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 On Site Dental, PC's NPI number?

The NPI number for On Site Dental, PC is 1487794798. It was assigned to this organization in the NPPES registry on February 7, 2007. The provider is also known as On Site Dental, New Mexico.

Where is On Site Dental, PC located?

On Site Dental, PC is located at 1996 Dougs Park Rd, Camp Verde, AZ 86322. The listed phone number is (928) 567-1832.

What is On Site Dental, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for On Site Dental, PC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.