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PRESCOTT DENTISTRY PLLC NPI 1003292038


NPI Information

NPI: 1003292038
Provider Name: PRESCOTT DENTISTRY, PLLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

CLIA Number: 03D2202305

Address:
350 WHIPPLE ST
PRESCOTT, AZ
ZIP 86301
Phone: (928) 445-1660
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PRESCOTT DENTISTRY, PLLC is a general practice dentist in Prescott, AZ. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. PRESCOTT DENTISTRY, PLLC NPI is 1003292038. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

350 WHIPPLE ST
PRESCOTT, AZ
ZIP 86301-714
Phone: (928) 445-1660
Fax: (928) 771-8169

The provider's authorized official is Sergio G Montes .
The authorized official title is Dentist and has the following contact phone number (928) 445-1660.

The CLIA number assigned to this NPI record is 03D2202305 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/31/2015 and was last updated on 7/31/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223X0400XDentistOrthodontics and Dentofacial OrthopedicsNo
21223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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