| Stillwater Dental,pc | |
|
3773 Crossings Dr Suitec Prescott AZ 86305-7121 | |
| (928) 717-8400 | |
| Not Available |
| Full Name | Stillwater Dental,pc |
|---|---|
| Speciality | Dentist |
| Location | 3773 Crossings Dr, Prescott, Arizona |
| Authorized Official Name and Position | Jerome C Cutler (OWNER) |
| Authorized Official Contact | 9287757433 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stillwater Dental,pc 3773 Crossings Dr Suitec Prescott AZ 86305-7121 Ph: (928) 717-8400 | Stillwater Dental,pc 3773 Crossings Dr Suitec Prescott AZ 86305-7121 Ph: (928) 717-8400 |
| NPI Number | 1861722563 |
|---|---|
| Provider Enumeration Date | 01/04/2010 |
| Last Update Date | 01/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861722563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6407 (Arizona) | Secondary |
| 122300000X | Dentist | 6207 (Arizona) | Secondary |
| 122300000X | Dentist | 5708 (Arizona) | Secondary |
| 122300000X | Dentist | 6772 (Arizona) | Primary |
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