Organization · Type 2 NPI

Havasu Dental Group 1 PLLC

General Practice Dentistry · Kingman, AZ

NPI number 1508776907 Active

Practice location

2002 N Stockton Hill Rd Ste 104
Kingman, AZ 86401-4698

Call (520) 499-9151 Map

Mailing address

10810 N Tatum Blvd Ste 102-2005
Phoenix, AZ 85028-6055

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None 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.

3 other providers at this address

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About NPI 1508776907

Havasu Dental Group 1 PLLC's National Provider Identifier is 1508776907, issued on Sep 9, 2026. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Kingman, AZ. The record was last updated on Sep 9, 2026.