Mario Fragoso, DDS
General Practice Dentistry · Douglas, AZ
Mario Fragoso, DDS is a general practice dentistry with a practice address in Douglas, Arizona, and NPI 1770584369, issued on Aug 3, 2005. Check the license (Arizona D4412, as entered in NPPES) with the Arizona board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Mario Fragoso
- Credential
- DDS
- Primary taxonomy
- General Practice Dentistry 1223G0001X
- License number
- D4412 AZ
Self-reported in NPPES; status is on the state search - Practice location
- 1100 F Ave, Douglas, AZ 85607
- Phone
- (520) 364-1429
- Enumerated
- Aug 3, 2005
- Record last updated
- Jun 12, 2013 (not updated in 13 years: call before relying on the address or phone)
- Fax
- (520) 364-4261
- Medicaid ID
- 156069 AZ
- Entity
- Type 1 · individual
Also registered at 1100 F Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Heidy AnwayDental Hygienist1982103479
- Shirley Bayham-Hicks, FNPFamily Nurse Practitioner1144216920
- Russell Christopher, M.D.Psychiatry Physician1336130897
- Lisa Deese, D.M.D.General Practice Dentistry1639498595
- Vicki French, LISACCounselor1750652459
- Jill Hamilton, N.P.Family Medicine Physician1922044577
Verify Mario Fragoso in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Arizona board licenses this profession
Search for license D4412Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
3 general practice dentistry records list a practice address in Douglas
They are 3 of the 131 NPPES records with a practice address in Douglas, and 2,482 general practice dentistry records in Arizona. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 3 in Douglas → All 2,482 in Arizona → Every provider in Douglas →
Other general practice dentistry records in Arizona
- Bruce Aahrens, DDSPeoria, AZ1356428510
- Abraham Abaie, DDSScottsdale, AZ1477641256
- Alisha Abbas, DMDTucson, AZ1528985355
- Ali AbdulmajeedLaveen, AZ1194493080
- Reza Abedi, DDSApache Junction, AZ1578659736
- Aryan Abedini, DMDAvondale, AZ1841776150
- Ramez Abilmona, DMDMesa, AZ1376744748
- Mark AbzugPhoenix, AZ1871648543
- Chad Achatz, DMDScottsdale, AZ1699220863
- Kelsey Adams, DMDScottsdale, AZ1770476731
Common questions
What is Mario Fragoso, DDS's NPI number?
Mario Fragoso, DDS's National Provider Identifier (NPI) is 1770584369, issued on Aug 3, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Mario Fragoso, DDS located?
The NPPES record lists a practice address at 1100 F Ave, Douglas, AZ, 85607. Phone: (520) 364-1429. Providers update this record themselves, so call before visiting.
How can I verify Mario Fragoso, DDS's license?
NPPES lists Arizona license number D4412, as entered by the provider. Search the Arizona board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.