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

Wild West Kids Dental Bullhead

Organization Pediatric Dentistry · NPI 1932799053

Wild West Kids Dental Bullhead is a Pediatric Dentistry in Bullhead City, Arizona. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2

Practice location Address checks out

2401 Miracle Mile
Bullhead City, AZ 86442-7311
Phone: (928) 704-5573
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X
Pediatric Dentistry Taxonomy 1223P0221X

Record details

NPI number1932799053
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ronald Dicarlo — Owner · (928) 718-7188
Other names Kids Little Smiles
NPI enumeratedJanuary 22, 2021
Last updated in NPPESJanuary 22, 2021
Certification dateJanuary 22, 2021
Mailing address2401 N Stockton Hill Rd Ste 1, Kingman, AZ 86401-4189