# PICACHO DENTAL PARTNERS LLC

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

## Provider details

- **NPI number:** 1144035312
- **Authorized official:** DR. JASON T LEMMON DDS (PARTNER)
- **Authorized official phone:** (720) 352-4456

## Contact information

- **Practice address:** 3325 S. AVENUE 8E, STE. 4, YUMA, AZ 85365-8536
- **Practice address phone:** (928) 344-3177
- **Practice address fax:** (928) 344-3157
- **Mailing address:** 3325 S. AVENUE 8E, STE. 4, YUMA, AZ 85365
- **Mailing address phone:** (928) 344-3177

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/12/2025
- **Last updated:** 02/12/2025