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89A DENTAL CARE PLLC NPI 1114333739


NPI Information

NPI: 1114333739
Provider Name: 89A DENTAL CARE PLLC

Doing Business As: 89A DENTAL CARE

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
6455 N VIEWPOINT DR
SUITE 600
PRESCOTT VALLEY, AZ
ZIP 86314
Phone: (928) 775-8989
Get Directions

89A DENTAL CARE PLLC is a general practice dentist in Prescott Valley, 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. 89A DENTAL CARE PLLC NPI is 1114333739. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As 89a Dental Care.

The provider's business location address is:

6455 N VIEWPOINT DR
SUITE 600
PRESCOTT VALLEY, AZ
ZIP 86314-215
Phone: (928) 775-8989
Fax: (928) 775-8988

The provider's authorized official is Craig S. Howden .
The authorized official title is Principal and has the following contact phone number (928) 642-3989.

The enumeration date for this NPI number is 7/2/2014 and was last updated on 7/2/2014.


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 Practice20570660-NARIZONAYes

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
1488902MEDICAIDARIZONA

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: 11/14/2023

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