Organization · Type 2 NPI

Mogollon Family Dentistry

General Practice Dentistry · Overgaard, AZ

NPI number 1164344834 Active

Practice location

3367 Buckskin Rd # 100
Overgaard, AZ 85933

Fax (928) 535-5887

Mailing address

PO Box 100
Overgaard, AZ 85933-0100

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XNone listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1164344834

Mogollon Family Dentistry's National Provider Identifier is 1164344834, issued on Jul 27, 2026. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Overgaard, AZ. The record was last updated on Jul 27, 2026.