BRADSHAW FAMILY DENTAL
NPI 1972085660
Clinic/Center - Dental in Chino Valley, AZ

Active since August 30, 2018
1260 S STATE ROUTE 89 STE G, CHINO VALLEY, AZ 86323(928) 237-1305(928) 237-3038 Get Directions Write a Review

NPPES record last updated: August 30, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bradshaw Family Dental NPPES

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

BRADSHAW FAMILY DENTAL (NPI 1972085660) is a healthcare organization registered as a dental in Chino Valley, Arizona and active in the NPI registry since August 2018. The organization lists David Frausto, Owner, as its authorized official.

NPPES Registry Identity

NPI1972085660
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSEASONS SAGE
Location Address1260 S STATE ROUTE 89 STE GChino Valley, AZ 86323-6624
Mailing Address1260 S State Route 89 Ste GChino Valley, AZ 86323-6624 · (928) 237-1305 · Fax (928) 237-3038
Fax(928) 237-3038
Organization SubpartNo
Authorized OfficialDavid FraustoOwner · (928) 237-1305
Enumeration DateAugust 30, 2018
NPI 1972085660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License Licensed in AZ · D5639
1260 S STATE ROUTE 89 STE G, Chino Valley, AZ 86323

Other Names 1

Doing Business AsBradshaw Family Dental

Other Identifiers 1

Medicaid722183AZ

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 Seasons Sage's NPI number?

The NPI number for Seasons Sage is 1972085660. It was assigned to this organization in the NPPES registry on August 30, 2018. The provider is doing business as Bradshaw Family Dental.

Where is Seasons Sage located?

Seasons Sage is located at 1260 S State Route 89 Ste G, Chino Valley, AZ 86323. The listed phone number is (928) 237-1305.

What is Seasons Sage's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Seasons Sage was last updated on August 30, 2018. 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.