Bonanza Square Dentistry Llc - Dental Clinic in Payson, AZ

Bonanza Square Dentistry Llc is a dental clinic (Dentist - General Practice) in Payson, Arizona. The current practice location for Bonanza Square Dentistry Llc is 200 W Frontier St, Suite 5, Payson, Arizona. For appointments, you can reach them via phone at (928) 472-2500. The mailing address for Bonanza Square Dentistry Llc is 200 W Frontier St, Suite 5, Payson, Arizona and phone number is (928) 472-2500.

Bonanza Square Dentistry Llc is licensed to practice in Arizona (license number D5797) and its NPI number is 1104019918. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (928) 472-2500.

Contact Information

Bonanza Square Dentistry Llc
200 W Frontier St
Suite 5
Payson
AZ 85541
(928) 472-2500
(928) 472-6699

Map and Direction


Dental Care Clinic Profile

Full NameBonanza Square Dentistry Llc
SpecialityDentist - General Practice
Location200 W Frontier St, Payson, Arizona
Authorized Official Name and PositionEldon Dwayne Jenkins (OWNER)
Authorized Official Contact4802052476
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Bonanza Square Dentistry Llc
200 W Frontier St
Suite 5
Payson
AZ 85541

Ph: (928) 472-2500
Bonanza Square Dentistry Llc
200 W Frontier St
Suite 5
Payson
AZ 85541

Ph: (928) 472-2500

NPI Details:

NPI Number1104019918
Provider Enumeration Date08/24/2007
Last Update Date08/24/2007

Medical Identifiers

Medical identifiers for Bonanza Square Dentistry Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104019918NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice D5797 (Arizona)Primary

Reviews and Comments


Dental Clinics in Payson, AZ

Paul Christian Alexander
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Phone: 928-474-3216    Fax: 928-474-8369
Derek R Sloan Dds Pllc
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North Beeline Dental Llc
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Cp Dental Llc
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Phone: 928-472-2500    
Anderson Dental Group
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Medicare: Not Enrolled in Medicare
Practice Location: 712 N Beeline Hwy, Payson, AZ 85541
Phone: 928-474-4581    Fax: 928-474-4584
Charles M. Beier, D.d.s., P.c.
Dental Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 414 S Beeline Hwy Ste 5, Payson, AZ 85541
Phone: 928-472-9303    Fax: 928-472-9554

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.