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

Rustic Mountain Dentistry

Organization Dental Clinic/Center · NPI 1063983245

Rustic Mountain Dentistry is a Dental Clinic/Center in Taylor, Arizona. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

606 N Main St
Taylor, AZ 85939-8593
Phone: (928) 457-0758
Fax: (928) 457-0821
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1063983245
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Davis — Doctor/Owner · (928) 457-0758
NPI enumeratedDecember 16, 2018
Last updated in NPPESDecember 16, 2018
Mailing addressPo Box 1550, Taylor, AZ 85939-1550