Provider Demographics
NPI:1073679874
Name:YUMA FAMILY DENTAL, PLLC
Entity Type:Organization
Organization Name:YUMA FAMILY DENTAL, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DARREN
Authorized Official - Middle Name:CRAIG
Authorized Official - Last Name:BARROWS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:928-783-2218
Mailing Address - Street 1:2201 S AVENUE A STE 101
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-8460
Mailing Address - Country:US
Mailing Address - Phone:928-783-2218
Mailing Address - Fax:928-783-6399
Practice Address - Street 1:2201 S AVENUE A STE 101
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-8460
Practice Address - Country:US
Practice Address - Phone:928-783-2218
Practice Address - Fax:928-783-6399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN4815122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty