Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Old Town General Dentistry & Denture Lab

Organization General Practice Dentistry · NPI 1942672118

Old Town General Dentistry & Denture Lab provides General Practice Dentistry in Cottonwood, Arizona. Licensed in Arizona. Registered with an NPI since 2015.

Licensed in
AZ
In the registry since
2015

Practice location Address checks out

542 N Main St
Cottonwood, AZ 86326-3896 Not confirmed with CMS for 10 years — call before visiting
Phone: (928) 634-8567
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D4038 (AZ)

Record details

NPI number1942672118
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Blair — Dentist/Member · (928) 634-8567
NPI enumeratedOctober 27, 2015
Last updated in NPPESOctober 27, 2015
Mailing address542 N Main St, Cottonwood, AZ 86326-3896

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