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HORIZON DENTAL GROUP PRESCOTT LLC NPI 1063897411


NPI Information

NPI: 1063897411
Provider Name: HORIZON DENTAL GROUP PRESCOTT, LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
919 12TH PL
PRESCOTT, AZ
ZIP 86305
Phone: (928) 925-6522
Get Directions

HORIZON DENTAL GROUP PRESCOTT, LLC 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. HORIZON DENTAL GROUP PRESCOTT, LLC NPI is 1063897411. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

919 12TH PL
PRESCOTT, AZ
ZIP 86305-433
Phone: (928) 925-6522
Fax: (928) 636-1164

The provider's authorized official is Kelcie Thompson .
The authorized official title is Billing Manger and has the following contact phone number (928) 925-6522.

The enumeration date for this NPI number is 7/28/2015 and was last updated on 7/28/2015.


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
11223G0001XDentistGeneral PracticeD8489ARIZONANo
21223G0001XDentistGeneral PracticeD8753ARIZONANo
31223G0001XDentistGeneral PracticeD5634ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1731456MEDICAIDARIZONA
2824155MEDICAIDARIZONA
3703042MEDICAIDARIZONA

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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