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Kktz — NPI 1861908857, Fort Mohave, AZ | NPI Central

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NPI 1861908857

OrganizationActive

Kktz

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

General Practice DentistryPrimary1223G0001X
Dental Providers

Practice location

5221 Hwy 95 Ste 4

Fort Mohave, AZ 86426-9244

Phone: (928) 577-2533

Approximate (ZIP-level) locationGet directions

More AZ providers

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.