| TR Dental PLLC | |
|
1787 Willow Creek Rd Prescott AZ 86301-1154 | |
| (801) 888-1163 | |
| Not Available |
| Full Name | TR Dental PLLC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1787 Willow Creek Rd, Prescott, Arizona |
| Authorized Official Name and Position | Tyler Richards (OWNER) |
| Authorized Official Contact | 9284458980 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| TR Dental PLLC 1787 Willow Creek Rd Prescott AZ 86301-1154 Ph: (801) 888-1163 | TR Dental PLLC 1787 Willow Creek Rd Prescott AZ 86301-1154 Ph: (801) 888-1163 |
| NPI Number | 1447107933 |
|---|---|
| Provider Enumeration Date | 03/13/2026 |
| Last Update Date | 03/13/2026 |
| Certification Date | 03/13/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447107933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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