NPI 1942524335

White Mountain Dentistry

Organisation Point of Service Snowflake, AZ

Practice location

Address: 986 S Main St, Snowflake, AZ 85937-5500
Phone: (928) 536-5353
Fax: (928) 536-5753

Authorised official

Name: Benjamin L Tenney
Title: Owner
Phone: (928) 536-5353

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence AZ7350 (AZ)

Other Point of Service providers in Arizona →

Registry record

NPI: 1942524335
Entity type: Organization
NPI issued: 15 Mar 2010
Record last updated: 15 Mar 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.