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

San Carlos Apache Healthcare Corporation

Organization General Practice Dentistry · NPI 1356790059

San Carlos Apache Healthcare Corporation provides General Practice Dentistry in Peridot, Arizona. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

103 Medicine Way Rd
Peridot, AZ 85542 Not confirmed with CMS for 10 years — call before visiting
Phone: (928) 475-1200
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 number1356790059
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSan Carlos Apache Healthcare Corporation
Authorized official Victoria Began — Interim Ceo · (928) 475-1200
NPI enumeratedJune 3, 2016
Last updated in NPPESJune 3, 2016
Mailing addressPo Box 787, Peridot, AZ 85542-0787