| Nizhoni Smiles, Inc. | |
|
N Hwy 491 Shiprock NM 87420-3449 | |
| (505) 368-5626 | |
| Not Available |
| Full Name | Nizhoni Smiles, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | N Hwy 491, Shiprock, New Mexico |
| Authorized Official Name and Position | Julia Freeland (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 5053685626 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nizhoni Smiles, Inc. Po Box 3449 North Hwy 491 Shiprock NM 87420-3449 Ph: (505) 368-5626 | Nizhoni Smiles, Inc. N Hwy 491 Shiprock NM 87420-3449 Ph: (505) 368-5626 |
| NPI Number | 1295890416 |
|---|---|
| Provider Enumeration Date | 12/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295890416 | NPI | - | NPPES |
| H8402 | Medicaid | NM | |
| 812033 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Northern Navajo Medical Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: Us Highway 491 North, Shiprock, NM 87420 Phone: 505-368-6401 Fax: 505-368-6431 |