IndividualActive
Mario Fragoso, DDS
NPI 1770584369 · General Practice Dentistry · Douglas, AZ
Mario Fragoso, DDS is a General Practice Dentistry provider in Douglas, AZ (NPI 1770584369).
Provider details
- NPI number
- 1770584369
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- D4412 (AZ)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
1100 F Ave
Douglas, AZ 85607-1919
Phone: (520) 364-1429
Fax: (520) 364-4261
Street-level locationGet directions
Mailing address
1205 F Avenue
Douglas, AZ 85607
Registry dates
- Enumerated
- 2005-08-03
- Last updated
- 2013-06-12
Frequently asked questions
- What is Mario Fragoso's NPI number?
- Mario Fragoso's National Provider Identifier (NPI) is 1770584369, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mario Fragoso's specialty?
- Mario Fragoso is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Mario Fragoso located?
- Mario Fragoso's practice location on file with NPPES is 1100 F Ave, Douglas, AZ 85607-1919.
- What is Mario Fragoso's phone number?
- The practice phone number listed in the NPPES registry for Mario Fragoso is (520) 364-1429.
- Is Mario Fragoso's NPI active?
- Yes — Mario Fragoso's NPI (1770584369) is active in the NPPES registry as of the last update on 2013-06-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.