| Winslow Dental | |
|
321 W Second St Winslow AZ 86047-3406 | |
| (928) 289-4441 | |
| Not Available |
| Full Name | Winslow Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 321 W Second St, Winslow, Arizona |
| Authorized Official Name and Position | Brent Jacob Gardner (OWNER) |
| Authorized Official Contact | 6142543384 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Winslow Dental 321 W Second St Winslow AZ 86047-3406 Ph: (928) 289-4441 | Winslow Dental 321 W Second St Winslow AZ 86047-3406 Ph: (928) 289-4441 |
| NPI Number | 1538619515 |
|---|---|
| Provider Enumeration Date | 10/13/2016 |
| Last Update Date | 10/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538619515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D09050 (Arizona) | Primary |
Dental Innovations-winslow Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 722 Mike's Pike Street, #101, Winslow, AZ 86047 Phone: 928-289-3738 | |
Winslow Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 321 W Second St, Winslow, AZ 86047 Phone: 928-289-4441 |