| 89a Dental Care Pllc | |
|
6455 N Viewpoint Dr Suite 600 Prescott Valley AZ 86314-3215 | |
| (928) 775-8989 | |
| (928) 775-8988 |
| Full Name | 89a Dental Care Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6455 N Viewpoint Dr, Prescott Valley, Arizona |
| Authorized Official Name and Position | Craig S. Howden (PRINCIPAL) |
| Authorized Official Contact | 9286423989 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 89a Dental Care Pllc 6455 N Viewpoint Dr Suite 600 Prescott Valley AZ 86314-3215 Ph: (928) 775-8989 | 89a Dental Care Pllc 6455 N Viewpoint Dr Suite 600 Prescott Valley AZ 86314-3215 Ph: (928) 775-8989 |
| NPI Number | 1114333739 |
|---|---|
| Provider Enumeration Date | 07/02/2014 |
| Last Update Date | 07/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114333739 | NPI | - | NPPES |
| 488902 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 20570660-N (Arizona) | Primary |
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