Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mogollon Family Dentistry

Organization General Practice Dentistry · NPI 1164344834

Mogollon Family Dentistry provides General Practice Dentistry in Overgaard, Arizona. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

3367 Buckskin Rd # 100
Overgaard, AZ 85933
Phone: (928) 535-5886
Fax: (928) 535-5887
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1164344834
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Andersen — Dentist/ Owner · (928) 535-5886
NPI enumeratedJuly 27, 2026
Last updated in NPPESJuly 27, 2026
Certification dateJuly 27, 2026
Mailing addressPo Box 100, Overgaard, AZ 85933-0100

Other providers in Overgaard