PRESCOTT PERIODONTICS & IMPLANT DENTISTRY, PLLC is a periodontics dentist in Prescott, AZ. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. PRESCOTT PERIODONTICS & IMPLANT DENTISTRY, PLLC NPI is 1891244281. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
1229 WILLOW CREEK RD
PRESCOTT, AZ
ZIP 86301-427
Phone: (928) 778-2340
Fax: (928) 778-3646
The provider's authorized official is Richard Charles Jirsa .
The authorized official title is Periodontist and has the following contact phone number (928) 778-2340.
The enumeration date for this NPI number is 9/26/2016 and was last updated on 9/26/2016.