Organization · Type 2 NPI

Mogollon Family Dentistry

General Practice Dentistry · Overgaard, AZ

NPI number 1699696229 Active

Practice location

3367 Buckskin Rd
Overgaard, AZ 85933-3298

Fax (928) 535-5887

Mailing address

3367 Buckskin Rd # 100
Overgaard, AZ 85933-3298

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 1699696229

Mogollon Family Dentistry's National Provider Identifier is 1699696229, issued on Jul 21, 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.