Individual provider · Type 1 NPI

Jody B. Herschenhorn-Dominick, DDS

General Practice Dentistry · Sacaton, AZ

NPI number 1770669939 Active

Practice location

483 W. Seed Farm Rd.
Sacaton, AZ 85147-0038

Call (602) 528-1200 Map

Fax (602) 528-1296

Mailing address

PO Box 38, Gila River Health Care Corporation
Sacaton, AZ 85147-0038

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X5247 (AZ)

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 1770669939

Jody B. Herschenhorn-Dominick, DDS's National Provider Identifier is 1770669939, issued on Oct 31, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Sacaton, AZ. The record was last updated on Mar 8, 2012.