Brendan J Fay, DDS
Individual provider Active NPI Dentist · Tonalea, AZ
NPI 1326038019 · NPPES record last updated Dec 13, 2013
Key facts
- NPI
- 1326038019
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- G1-0001164 (DE)
- Practice address
- Highway 98 & Navajo Route 16
Tonalea, AZ 86044 - Phone
- (928) 672-3000
- Fax
- (928) 672-3005
- NPI assigned
- Oct 25, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHHS Naihs PHS Inscription House Health Center | Past | Accepting new patients | |
| Kayenta Alternative Rural Hospital | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | G1-0001164 | DE | Yes |
Addresses
Primary practice location
Highway 98 & Navajo Route 16
Tonalea, AZ 86044
Mailing address
PO Box 7397
Shonto, AZ 86054-7397
Phone (928) 672-3000
Other providers in Tonalea, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2013. 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.