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PRESCOTT ENDODONTIC ASSOCIATES PC NPI 1588620231


NPI Information

NPI: 1588620231
Provider Name: PRESCOTT ENDODONTIC ASSOCIATES PC
Classification: Dentist - 1223E0200X
Entity Type: Organization

Specialization: Endodontics

Address:
1658 OAKLAWN DRIVE
STE B
PRESCOTT, AZ
ZIP 86305
Phone: (928) 771-1640
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PRESCOTT ENDODONTIC ASSOCIATES PC is an endodontics dentist in Prescott, AZ. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. PRESCOTT ENDODONTIC ASSOCIATES PC NPI is 1588620231. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1658 OAKLAWN DRIVE
STE B
PRESCOTT, AZ
ZIP 86305
Phone: (928) 771-1640
Fax: (928) 771-1673

The provider's authorized official is Christopher D Smith .
The authorized official title is President and has the following contact phone number (928) 771-1640.

The enumeration date for this NPI number is 4/21/2006 and was last updated on 8/22/2020.


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
11223E0200XDentistEndodonticsD5788ARIZONAYes

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
11516207OTHERUNITED CONCORDIA

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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