OLD TOWN GENERAL DENTISTRY & DENTURE LAB - NPI 1942672118

Q: What is Old Town General Dentistry & Denture Lab's specialty?

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

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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 NPPES & CMS

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

What is Old Town General Dentistry & Denture Lab's NPI number?

The NPI number for Old Town General Dentistry & Denture Lab is 1942672118. It was assigned to this organization in the NPPES registry on October 27, 2015.

Where is Old Town General Dentistry & Denture Lab located?

Old Town General Dentistry & Denture Lab is located at 542 N Main St, Cottonwood, AZ 86326. The listed phone number is (928) 634-8567.

What is Old Town General Dentistry & Denture Lab'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 Old Town General Dentistry & Denture Lab was last updated on October 27, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.