OrganizationActive
Kktz Dental PLLC
NPI 1093288334 · General Practice Dentistry · Fort Mohave, AZ
Provider details
- NPI number
- 1093288334
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Parent organization
- Kktz Dental PLLC
- Authorized official
- Gayle Jennings, Office Manager
Practice location
5221 S Highway 95 Ste 4
Fort Mohave, AZ 86426-9244
Phone: (928) 577-2533
Fax: (928) 577-2518
Mailing address
5221 S Highway 95 Ste 4
Fort Mohave, AZ 86426-9244
Registry dates
- Enumerated
- 2019-01-09
- Last updated
- 2019-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.