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

San Carlos Apache Healthcare Corporation

Organization General Practice Dentistry · NPI 1356790059

San Carlos Apache Healthcare Corporation is a 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
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