Provider Demographics
NPI:1417420472
Name:ADOBE DENTAL DESIGN OF SEDONA, PLLC
Entity Type:Organization
Organization Name:ADOBE DENTAL DESIGN OF SEDONA, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/CO-OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:HELD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:307-258-6297
Mailing Address - Street 1:80 SOLDIERS PASS RD STE C
Mailing Address - Street 2:
Mailing Address - City:SEDONA
Mailing Address - State:AZ
Mailing Address - Zip Code:86336-4738
Mailing Address - Country:US
Mailing Address - Phone:928-282-7871
Mailing Address - Fax:928-282-6470
Practice Address - Street 1:80 SOLDIERS PASS RD STE C
Practice Address - Street 2:
Practice Address - City:SEDONA
Practice Address - State:AZ
Practice Address - Zip Code:86336-4738
Practice Address - Country:US
Practice Address - Phone:928-282-7871
Practice Address - Fax:928-282-6470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-02
Last Update Date:2019-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental