| Prescott Endodontic Associates Pc | |
|
1658 Oaklawn Drive Ste B Prescott AZ 86305 | |
| (928) 771-1640 | |
| (928) 771-1673 |
| Full Name | Prescott Endodontic Associates Pc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 1658 Oaklawn Drive, Prescott, Arizona |
| Authorized Official Name and Position | Christopher D Smith (PRESIDENT) |
| Authorized Official Contact | 9287711640 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prescott Endodontic Associates Pc 1658 Oaklawn Drive Ste B Prescott AZ 86305 Ph: (928) 771-1640 | Prescott Endodontic Associates Pc 1658 Oaklawn Drive Ste B Prescott AZ 86305 Ph: (928) 771-1640 |
| NPI Number | 1588620231 |
|---|---|
| Provider Enumeration Date | 04/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588620231 | NPI | - | NPPES |
| 1516207 | Other | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | D5788 (Arizona) | Primary |
Prescott Dentistry, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 350 Whipple St, Prescott, AZ 86301 Phone: 928-445-1660 Fax: 928-771-8169 | |
Distinctive Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Willow Creek Rd, Suite H, Prescott, AZ 86301 Phone: 928-445-3181 Fax: 928-445-5797 | |
Horizon Dental Pdc Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 919 12th Pl Ste 7, Prescott, AZ 86305 Phone: 928-641-4000 Fax: 928-285-5835 | |
My Kids' Dentist Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3140 Clearwater Dr, Prescott, AZ 86305 Phone: 928-445-5959 Fax: 928-445-5989 | |
Horizon Dental Group Prescott, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 919 12th Pl, Prescott, AZ 86305 Phone: 928-925-6522 Fax: 928-636-1164 | |
Hicks Dental Group, Ltd. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 Whipple St, Prescott, AZ 86301 Phone: 928-445-6030 Fax: 928-445-6030 | |
Frontier Village Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1781 E State Route 69, Ste 9, Prescott, AZ 86301 Phone: 928-541-1000 Fax: 928-778-2131 |