| Vail Family Dentistry | |
|
13190 E Colossal Cave Rd Ste 150 Vail AZ 85641-8822 | |
| (520) 762-3236 | |
| (520) 762-8058 |
| Full Name | Vail Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 13190 E Colossal Cave Rd Ste 150, Vail, Arizona |
| Authorized Official Name and Position | Sean Ballew (PRESIDENT) |
| Authorized Official Contact | 5207623236 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vail Family Dentistry 13190 E Colossal Cave Rd Ste 150 Vail AZ 85641-8822 Ph: (520) 762-3236 | Vail Family Dentistry 13190 E Colossal Cave Rd Ste 150 Vail AZ 85641-8822 Ph: (520) 762-3236 |
| NPI Number | 1750861233 |
|---|---|
| Provider Enumeration Date | 08/15/2018 |
| Last Update Date | 08/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750861233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QD0000X | Clinic/center - Dental | D7579 (Arizona) | Primary |
Vail Family Dentistry, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13190 E Colossal Cave Rd Ste 150, Vail, AZ 85641 Phone: 520-762-3236 Fax: 520-762-8058 | |
Dentists Of Vail Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13410 E. Mary Ann Cleveland Way, Vail, AZ 85641 Phone: 520-316-0613 Fax: 520-399-7794 |