| Booth Orthodontics Pllc | |
|
10 N Alamos Dr Cottonwood AZ 86326-4072 | |
| (928) 634-2121 | |
| (928) 634-4141 |
| Full Name | Booth Orthodontics Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 10 N Alamos Dr, Cottonwood, Arizona |
| Authorized Official Name and Position | Nicholas Paul Booth (OWNER) |
| Authorized Official Contact | 9286342121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Booth Orthodontics Pllc 10 N Alamos Dr Cottonwood AZ 86326-4072 Ph: (928) 634-2121 | Booth Orthodontics Pllc 10 N Alamos Dr Cottonwood AZ 86326-4072 Ph: (928) 634-2121 |
| NPI Number | 1023535002 |
|---|---|
| Provider Enumeration Date | 08/29/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023535002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | D009378 (Arizona) | Primary |
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