Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
DHHS IHS PHOENIX AREA
Active
Organization
DHHS IHS PHOENIX AREA
Active
Parent organization
DHHS IHS PHOENIX AREA
Other names
Whiteriver Service Unit Dental Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
DHHS IHS PHOENIX AREA
Authorized official
MICHELLE MARTINEZ FNP (CHIEF EXECUTIVE OFFICER)
(928) 338-4911
Entity
Organization
Contact information
Practice address
200 WEST HOSPITAL WAY, WHITERIVER, AZ 85941-0860
(928) 338-4911
(928) 338-5508
Mailing address
PO BOX 860, 200 WEST HOSPITAL DRIVE, WHITERIVER, AZ 85941-0860
(928) 338-4911
(928) 338-5508
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
—
NULL
1223D0001X
Public Health Dentistry
—
—
1223G0001X
General Practice Dentistry
—
NULL
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
—
NULL
1223P0221X
Pediatric Dentistry
—
—
124Q00000X
Dental Hygienist
—
NULL
124Q00000X
Dental Hygienist
—
—
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/23/2007
Last updated
12/27/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers