OrganizationActive
Rustic Mountain Dentistry
NPI 1063983245 · Dental Clinic/Center · Taylor, AZ
Provider details
- NPI number
- 1063983245
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kenneth Davis, Doctor/Owner(928) 457-0758
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
606 N Main Street
Taylor, AZ 85939-8593
Phone: (928) 457-0758
Fax: (928) 457-0821
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1550
Taylor, AZ 85939-1550
Registry dates
- Enumerated
- 2018-12-16
- Last updated
- 2018-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.