89a Dental Care | |
6455 N Viewpoint Dr Suite 600 Prescott Valley AZ 86314-3215 | |
(928) 775-8989 | |
(928) 775-8988 |
Full Name | 89a Dental Care |
---|---|
Speciality | Dentist - General Practice |
Location | 6455 N Viewpoint Dr, Prescott Valley, Arizona |
Authorized Official Name and Position | Craig S. Howden (PRINCIPAL) |
Authorized Official Contact | 9286423989 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
89a Dental Care 6455 N Viewpoint Dr Suite 600 Prescott Valley AZ 86314-3215 Ph: (928) 775-8989 | 89a Dental Care 6455 N Viewpoint Dr Suite 600 Prescott Valley AZ 86314-3215 Ph: (928) 775-8989 |
NPI Number | 1114333739 |
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Provider Enumeration Date | 07/02/2014 |
Last Update Date | 07/02/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114333739 | NPI | - | NPPES |
488902 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 20570660-N (Arizona) | Primary |
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