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

Dr. Juan Bernal, GENERALDENTIST/IMPL

Individual provider General Practice Dentistry · NPI 1083021042

Dr. Juan Bernal, GENERALDENTIST/IMPL is a General Practice Dentistry in San Luis, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2014

Practice location Address checks out

3RD Street And Ave A Ste #8
San Luis, AZ 85349-6173
Phone: (928) 328-8237
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 3862950 (AZ)

Record details

NPI number1083021042
Entity typeIndividual (Type 1)
GenderMale
Credentials GENERALDENTIST/IMPL
Sole proprietorYes
NPI enumeratedJuly 22, 2014
Last updated in NPPESJuly 22, 2014
Mailing address3rd Street And A, Suite #8, Los Algodones, 21970

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