Mario Fragoso is a Douglas, Arizona based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Mario Fragoso is D4412 for General Practice Dentistry in Arizona. His current practice location is 1100 F Ave, Douglas. Patients can reach him at 520-364-1429.
Mario Fragoso is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Mario Fragoso speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Mario Fragoso
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
1100 F Ave, Douglas, Arizona, 85607-1919
Phone:
520-364-1429
Fax:
520-364-4261
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1770584369
NPI Enumeration Date:
03 Aug, 2005
NPI Last Update On:
12 Jun, 2013
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mario Fragoso are as mentioned below.
License Number
Specialization
State
Status
D4412
General Practice Dentistry
Arizona
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mario Fragoso such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
156069
Medicaid
Arizona
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1205 F Avenue, Douglas, Arizona
Zip:
85607
Phone Number:
520-364-1429
Fax Number:
520-364-4261
Patients can reach Mario Fragoso at 1100 F Ave, Douglas, Arizona or can call to book an appointment on 520-364-1429. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.