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OLD TOWN GENERAL DENTISTRY & DENTURE LAB
NPI 1942672118
Dentist - General Practice in Cottonwood, AZ

Active since October 27, 2015
542 N MAIN ST, COTTONWOOD, AZ 86326(928) 634-8567 Get Directions Write a Review

NPPES record last updated: October 27, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Old Town General Dentistry & Denture Lab NPPES

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

OLD TOWN GENERAL DENTISTRY & DENTURE LAB (NPI 1942672118) is a healthcare organization registered as a general practice in Cottonwood, Arizona and active in the NPI registry since October 2015. The organization lists Jeffrey C Blair, Dentist/member, as its authorized official.

NPPES Registry Identity

NPI1942672118
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameOLD TOWN GENERAL DENTISTRY & DENTURE LAB
Location Address542 N MAIN STCottonwood, AZ 86326-3896
Mailing Address542 N Main StCottonwood, AZ 86326-3896 · (928) 634-8567
Phone(928) 634-8567
Organization SubpartNo
Authorized OfficialJeffrey C BlairDentist/member · (928) 634-8567
Enumeration DateOctober 27, 2015
✔ NPI 1942672118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in AZ · D4038
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.

542 N MAIN ST, Cottonwood, AZ 86326
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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

What is OLD TOWN GENERAL DENTISTRY & DENTURE LAB's NPI number?

The NPI number assigned to this healthcare provider is 1942672118, enumerated as an "organization" on October 27, 2015.

Where is the provider located?

The provider is located at 542 N MAIN ST COTTONWOOD, AZ 86326 and the phone number is (928) 634-8567.

What is the provider's specialty?

Dentist with taxonomy code 1223G0001X and a focus in General Practice.