Highland Dental | |
3253 N Windsong Dr Prescott Valley AZ 86314-1222 | |
(928) 775-7433 | |
Not Available |
Full Name | Highland Dental |
---|---|
Speciality | Dentist |
Location | 3253 N Windsong Dr, Prescott Valley, Arizona |
Authorized Official Name and Position | Nathan R. Thompson (OWNER) |
Authorized Official Contact | 5204885764 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Highland Dental 3253 N Windsong Dr Prescott Valley AZ 86314-1222 Ph: (928) 775-7433 | Highland Dental 3253 N Windsong Dr Prescott Valley AZ 86314-1222 Ph: (928) 775-7433 |
NPI Number | 1013441039 |
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Provider Enumeration Date | 04/17/2017 |
Last Update Date | 04/17/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013441039 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | D008682 (Arizona) | Secondary |
122300000X | Dentist | D009619 (Arizona) | Primary |
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