Organization · NPI-2

Arizona Dental Professionals, P.C.

Dentist, General Practice · Bullhead City, AZ

NPI number1316101728
StatusActive
Last updated in NPPESFeb 4, 2014

Details

NPI
1316101728
Entity type
Organization (NPI-2)
Legal business name
Arizona Dental Professionals, P.C.
Organization subpart
Yes
Enumeration date
Jul 15, 2008
Last updated
Feb 4, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice––Yes

Other names

  • Crossroads Family Dental (Doing Business As)

Practice location

3750 Highway 95
Suite 106
Bullhead City, AZ 86442-8218

Phone 928-704-2580 · Fax 928-704-2583

Mailing address

3750 Highway 95
Suite 106
Bullhead City, AZ 86442-8218

Phone 928-704-2580 · Fax 928-704-2583

Authorized official

Carmen Woods
Ins Coordinator
2175405100

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Dentist, General Practice providers in Bullhead City, AZ