Ihs Pinon Dental | |
Off Hwy 191 & Hospital Road Chinle AZ 86503 | |
(928) 674-7001 | |
(928) 674-7008 |
Full Name | Ihs Pinon Dental |
---|---|
Speciality | Clinic/center - Dental |
Location | Off Hwy 191 & Hospital Road, Chinle, Arizona |
Authorized Official Name and Position | Patrick J. Yazzie (BUSINESS OFFICE MANAGER) |
Authorized Official Contact | 9286747030 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ihs Pinon Dental Po Drawer Ph Chinle AZ 86503 Ph: (928) 674-7001 | Ihs Pinon Dental Off Hwy 191 & Hospital Road Chinle AZ 86503 Ph: (928) 674-7001 |
NPI Number | 1851575823 |
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Provider Enumeration Date | 12/26/2007 |
Last Update Date | 12/26/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851575823 | NPI | - | NPPES |
230153 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Ihs Chinle Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: Off Hwy 191 & Hospital Road, Chinle, AZ 86503 Phone: 928-674-7001 Fax: 928-674-7008 | |
Ihs Tsaile Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: Off Hwy 191 & Hospital Road, Chinle, AZ 86503 Phone: 928-674-7001 Fax: 928-674-7008 | |
Many Farms Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: Off Hwy 191 & Hospital Road, Chinle, AZ 86503 Phone: 928-674-7001 Fax: 928-674-7008 |