# CENTRAL DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023179900
- **Authorized official:** RYAN S CLUFF RDH AZ LIC NO H4143 (OWNER HYGIENIST)
- **Authorized official phone:** (928) 428-2750

## Contact information

- **Practice address:** 1807 THATCHER BLVD, SAFFORD, AZ 85546
- **Practice address phone:** (928) 428-2750
- **Practice address fax:** (928) 428-9460
- **Mailing address:** PO BOX 187, SAFFORD, AZ 85548
- **Mailing address phone:** (928) 428-2750
- **Mailing address fax:** (928) 428-9460

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 3604 | AZ | Yes |
| 1223G0001X | General Practice Dentistry | 4223 | AZ | — |
| 1223G0001X | General Practice Dentistry | D1502 | AZ | — |

## Other

- **Enumeration date:** 12/13/2006
- **Last updated:** 08/22/2020