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Snowflake Family Dental

Dentist, General Practice in Snowflake, AZ. Organization (NPI-2).

NPI number1699679209
StatusActive
Last updated in NPPESOct 6, 2026

Details

NPI
1699679209
Entity type
Organization (NPI-2)
Legal business name
Snowflake Family Dental
Organization subpart
No
Enumeration date
Oct 6, 2026
Certification date
Oct 6, 2026
Last updated
Oct 6, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice––Yes

Practice location

932 S Main St Ste C
Snowflake, AZ 85937-5585

Phone 928-536-5773 · Fax 928-536-5776

Mailing address

932 S Main St Ste C
Snowflake, AZ 85937-5585

Phone 928-536-5773 · Fax 928-536-5776

Other practice locations

43 W White Mountain Blvd
Lakeside, AZ 85929-7002

Phone 928-367-9967 · Fax 928-367-9968

Authorized official

Bryce Jones
Owner
9255365773

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 General Practice Dentistry providers in Snowflake, AZ

All 5 General Practice Dentistry providers in Snowflake · All 123 providers in Snowflake

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