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

Mogollon Family Dentistry

Organization General Practice Dentistry · NPI 1699696229

Mogollon Family Dentistry is a 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
Overgaard, AZ 85933-3298
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 number1699696229
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Andersen — Dentist/ Owner · (928) 535-5886
NPI enumeratedJuly 21, 2026
Last updated in NPPESJuly 27, 2026
Certification dateJuly 27, 2026
Mailing address3367 Buckskin Rd # 100, Overgaard, AZ 85933-3298

Other providers in Overgaard