Organization · Type 2 NPI

DHHS Ihs Phoenix Area

Dental Clinic/Center · Whiteriver, AZ

NPI number 1144347501 Active

Practice location

200 West Hospital Way
Whiteriver, AZ 85941-0860

Call (928) 338-4911 Map

Fax (928) 338-5508

Mailing address

PO Box 860, 200 West Hospital Drive
Whiteriver, AZ 85941-0860

Specialties and licenses

Taxonomy	Code	License
Public Health Dentistry	1223D0001X	None listed
General Practice Dentistry	1223G0001X	None listed
Pediatric Dentistry	1223P0221X	None listed
Dental Hygienist	124Q00000X	None listed
Dental Clinic/Center Primary	261QD0000X	None listed

Dental Clinic/Center: Definition to come...

2 other providers at this address

NPI record

NPI: 1144347501
Entity type: Organization (Type 2)
Issued: Mar 23, 2007
Last updated: Dec 27, 2011
Status: Active
Subpart: Yes of DHHS Ihs Phoenix Area

Other names

<unavail>
Whiteriver Service Unit Dental Clinic · doing business as

Authorized official

Michelle Martinez, FNP
Chief Executive Officer
(928) 338-4911

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1144347501

DHHS Ihs Phoenix Area's National Provider Identifier is 1144347501, issued on Mar 23, 2007. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Whiteriver, AZ. The record was last updated on Dec 27, 2011.