OrganizationActive
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NPI 1861908857 · General Practice Dentistry · Fort Mohave, AZ
Provider details
- NPI number
- 1861908857
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Thadd Jennings, Member(928) 201-5588
Specialties & taxonomies
Dental Providers
Practice location
5221 Hwy 95 Ste 4
Fort Mohave, AZ 86426-9244
Phone: (928) 577-2533
Approximate (ZIP-level) locationGet directions
Mailing address
5221 Hwy 95 Ste 4
Fort Mohave, AZ 86426-9244
Other names (DBA / former)
- Doing business as
- Jennings & Larson Family Dentistry- Fort Mohave
Registry dates
- Enumerated
- 2017-12-28
- Last updated
- 2017-12-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.