# ADOBE HILLS DENTAL, PLLC

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

## Provider details

- **NPI number:** 1932738895
- **Authorized official:** DR. BRENON FARMER DDS (MEMBER)
- **Authorized official phone:** (605) 354-5867

## Contact information

- **Practice address:** 860 W. CLEVELAND, SUITE 5, SAINT JOHNS, AZ 85936
- **Practice address phone:** (928) 337-9990
- **Mailing address:** PO BOX 395, SAINT JOHNS, AZ 85936-0395

## Taxonomy

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

## Other

- **Enumeration date:** 04/03/2020
- **Last updated:** 04/03/2020