Tricity Dental in Prescott - Dental

Tricity Dental - NPI 1043471493

Tricity Dental is a Dental in Prescott, Arizona. Tricity Dental practices all healthcare services and medical treatments related to Dental. The NPI Number for Tricity Dental is 1043471493. The last update date is 2008-06-18.

Tricity Dental's current location address is 1000 Willow Creek Rd, Prescott, Arizona. You can contact this provider via phone number 9284453181 and fax number 9284455797. The mailing address for Tricity Dental is 1000 Willow Creek Rd, Prescott, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Organization Tricity Dental
Address 1000 Willow Creek Rd, Prescott, Arizona
Phone Number 9284453181
Fax Number 9284455797
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Wulff Juan Paul
Credentials D.M.D
Telephone Number 9284453181

NPI Number Detail

NPI Number 1043471493
Provider Enumeration Date 2008-06-18
Last Updated Date 2008-06-18

Provider Mailing Address Detail

Address 1000 Willow Creek Rd
City Prescott
State Arizona (AZ)
Post Code 863011645
Phone Number 9284453181
Fax Number 9284455797

Provider's Primary Taxonomy Detail

Speciality Dental
Taxonomy 261Qd0000X
Licence No D3674
Definition:
Provides general and specialized dental care and oral surgery.

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FAQs about Tricity Dental

What is the unique identification code assigned to Tricity Dental by the Centers for Medicare & Medicaid Services?

The Tricity Dental has been issued the NPI (National Provider Identifier) 1043471493. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Tricity Dental is geographically located?

The Tricity Dental is physically situated at the following location: 1000 Willow Creek Rd, Prescott, AZ, 863011645.

What is Tricity Dental's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Tricity Dental is Dental, and the taxonomy classification code that categorizes this area of expertise is 261Qd0000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1043471493 to Tricity Dental?

The Centers for Medicare & Medicaid Services assigned the 1043471493 to Tricity Dental on 2008-06-18.

When was the information related to Tricity Dental most recently updated or refreshed?

The details pertaining to the Tricity Dental, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-06-18.

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