Platt Comprehensive Dentistry | |
100 North 13th West St. Johns AZ 85936 | |
(928) 337-2522 | |
(928) 337-4881 |
Full Name | Platt Comprehensive Dentistry |
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Speciality | Dentist - General Practice |
Location | 100 North 13th West, St. Johns, Arizona |
Authorized Official Name and Position | Randolph Patteson Platt (PRESIDENT-OWNER) |
Authorized Official Contact | 9283372522 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Platt Comprehensive Dentistry Po Box 930 St. Johns AZ 85936-0930 Ph: (928) 337-2522 | Platt Comprehensive Dentistry 100 North 13th West St. Johns AZ 85936 Ph: (928) 337-2522 |
NPI Number | 1811254246 |
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Provider Enumeration Date | 04/23/2012 |
Last Update Date | 04/23/2012 |
Identifier | Type | State | Issuer |
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1811254246 | NPI | - | NPPES |
081282-001 | Other | AZ | STATE AHCCCS PROGRAM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 2706 (Arizona) | Primary |