IndividualActive
Jenna Gazzola, DMD, MA
NPI 1104391341 · General Practice Dentistry · Wickenburg, AZ
Provider details
- NPI number
- 1104391341
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD, MA
- Sex
- Female
- Sole proprietor
- No
- License
- 22DI2715600 (NJ)
Practice location
1175 W Wickenburg Way
Suite 1
Wickenburg, AZ 85390-2262
Phone: (928) 684-5475
Mailing address
1175 W Wickenburg Way
Wickenburg, AZ 85390-2262
Registry dates
- Enumerated
- 2018-10-03
- Last updated
- 2023-06-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.