Dental Innovations-Winslow
Organization Active NPI Dental Clinic/Center · Winslow, AZ
NPI 1104461268 · NPPES record last updated Nov 13, 2019
Key facts
- NPI
- 1104461268
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- Legal business name
- DENTAL INNOVATIONS-WINSLOW
- Practice address
- 722 Mike'S Pike Street
#101
Winslow, AZ 86047 - Phone
- (928) 289-3738
- NPI assigned
- Nov 13, 2019
- Organization subpart
- No
Authorized official
- Name
- Laura Vaughn
- Title
- Manager
- Phone
- (623) 210-3416
Practitioners 1
-
Richard P Baker, DDS
National Provider Directory
Locations
722 Mikes Pike St
Ste 101
Winslow, AZ 86047
Phone (928) 289-3738
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Yes |
Addresses
Primary practice location
722 Mike'S Pike Street
#101
Winslow, AZ 86047
Mailing address
34225 N 27TH Dr
BLDG 5 Ste 241
Phoenix, AZ 85085
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA | Other | NA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Winslow |
Other providers in Winslow, AZ
- Ralph E Day
- John Deangelis
- Barbara Ann Debethizy
- Decker Chiropractic, P.C.
- Jay E Decker
- Desert Prairie Gynecology and Obstetrics PC
- Kenya Destin
- Rishi Tejas Dholakia
- Dilkon Outpatient Treatment Center
- Dineh Tah Services
All providers in Winslow, AZ · Dental Clinic/Center in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.