Cactus Valley Dentistry PLLC

Organization Active NPI General Practice Dentistry · Coolidge, AZ

NPI 1215879481 · NPPES record last updated Jun 18, 2026

Key facts

NPI
1215879481
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
CACTUS VALLEY DENTISTRY PLLC
Practice address
1185 N Arizona Blvd
Coolidge, AZ 85128-3203
Phone
(520) 231-9515
Fax
(520) 231-9515
NPI assigned
Apr 7, 2026
Organization subpart
No

Authorized official

Name
Jose Andres Andrino, DDS
Title
Dentist
Phone
(480) 307-5000

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X Yes

Addresses

Primary practice location

1185 N Arizona Blvd
Coolidge, AZ 85128-3203

Mailing address

1185 N Arizona Blvd
Coolidge, AZ 85128-3203
Phone (520) 759-4100

Other providers in Coolidge, AZ

All providers in Coolidge, AZ · General Practice Dentistry in Arizona

Sources for this page

Verify at the official NPI Registry.