| Pineview Prescott Dental | |
|
680 Gail Gardner Way Prescott AZ 86305-0001 | |
| (928) 445-9233 | |
| (928) 445-1758 |
| Full Name | Pineview Prescott Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 680 Gail Gardner Way, Prescott, Arizona |
| Authorized Official Name and Position | Kenneth Glass (OWNER/DOCTOR) |
| Authorized Official Contact | 9284459233 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pineview Prescott Dental 680 Gail Gardner Way Prescott AZ 86305-0001 Ph: (928) 445-9233 | Pineview Prescott Dental 680 Gail Gardner Way Prescott AZ 86305-0001 Ph: (928) 445-9233 |
| NPI Number | 1588322598 |
|---|---|
| Provider Enumeration Date | 12/07/2021 |
| Last Update Date | 12/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588322598 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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