Prescott Endodontic Associates Pc in Prescott - Endodontics
Prescott Endodontic Associates Pc - NPI 1588620231
Prescott Endodontic Associates Pc is a Endodontics in Prescott, Arizona. Prescott Endodontic Associates Pc practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Prescott Endodontic Associates Pc is 1588620231. The last update date is 2020-08-22.
Prescott Endodontic Associates Pc's current location address is 1658 Oaklawn Drive, Prescott, Arizona. You can contact this provider via phone number 9287711640 and fax number 9287711673. The mailing address for Prescott Endodontic Associates Pc is 1658 Oaklawn Drive, Prescott, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Prescott Endodontic Associates Pc |
|---|---|
| Address | 1658 Oaklawn Drive, Prescott, Arizona |
| Phone Number | 9287711640 |
| Fax Number | 9287711673 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Smith D Christopher |
| Credentials | DDS |
| Telephone Number | 9287711640 |
NPI Number Detail
| NPI Number | 1588620231 |
|---|---|
| Provider Enumeration Date | 2006-04-21 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1658 Oaklawn Drive |
|---|---|
| City | Prescott |
| State | Arizona (AZ) |
| Post Code | 86305 |
| Phone Number | 9287711640 |
| Fax Number | 9287711673 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | D5788 |
|
Definition: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1516207 | UNITED CONCORDIA |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Prescott Endodontic Associates Pc by the Centers for Medicare & Medicaid Services?
The Prescott Endodontic Associates Pc has been assigned the NPI (National Provider Identifier) 1588620231 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Prescott Endodontic Associates Pc?
The Prescott Endodontic Associates Pc is physically situated at 1658 Oaklawn Drive, in the city of Prescott, state of AZ, with the postal code 86305.
What is Prescott Endodontic Associates Pc's area of expertise and its corresponding taxonomy classification?
The Prescott Endodontic Associates Pc's field of specialization is Endodontics, and it falls under the taxonomy code 1223E0200X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1588620231 to Prescott Endodontic Associates Pc?
The Centers for Medicare & Medicaid Services assigned the 1588620231 to Prescott Endodontic Associates Pc on 2006-04-21.
When was the information regarding Prescott Endodontic Associates Pc most recently updated?
The details pertaining to the Prescott Endodontic Associates Pc, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
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