THE DENTAL SQUAD LLC NPI 1548803091

NPI Information

  • NPI: 1548803091
  • Provider Name: THE DENTAL SQUAD, LLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 172 E MERRITT ST STE F
    PRESCOTT, AZ
    ZIP 86301
  • Phone: (928) 443-1200

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NPI Details

THE DENTAL SQUAD, LLC is a dental clinic center in Prescott, AZ. THE DENTAL SQUAD, LLC NPI is 1548803091. The provider is registered as an organization entity type.

The provider's business location address is:

172 E MERRITT ST STE F
PRESCOTT, AZ
ZIP 86301-027
Phone: (928) 443-1200
Fax: (928) 445-0037

The provider's authorized official is Aaron Cyrus Haag .
The authorized official title is Owner/dentist and has the following contact phone number (928) 443-1200.

The enumeration date for this NPI number is 10/28/2019 and was last updated on 10/28/2019.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalYes

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: 11/21/2025

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