# DESERT DENTISTRY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Desert Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558685933
- **Authorized official:** DR. THOMAS M MATTERN DDS (OWNER)
- **Authorized official phone:** (602) 432-0538

## Contact information

- **Practice address:** 409 W MAIN ST, PAYSON, AZ 85541-5487
- **Practice address phone:** (928) 472-8400
- **Mailing address:** 409 W MAIN ST, PAYSON, AZ 85541-5487
- **Mailing address phone:** (928) 472-8400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 03/15/2010
- **Last updated:** 05/21/2015