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 is a 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
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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