| Yavapai Oral And Facial Surgery Pllc | |
|
8101 E Florentine Rd Prescott Valley AZ 86314-8454 | |
| (928) 775-2545 | |
| (928) 775-2535 |
| Full Name | Yavapai Oral And Facial Surgery Pllc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 8101 E Florentine Rd, Prescott Valley, Arizona |
| Authorized Official Name and Position | Kathy S Dresher (VP BILLING) |
| Authorized Official Contact | 4058487974 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yavapai Oral And Facial Surgery Pllc Po Box 258848 Oklahoma City OK 73125-8848 Ph: (877) 667-7669 | Yavapai Oral And Facial Surgery Pllc 8101 E Florentine Rd Prescott Valley AZ 86314-8454 Ph: (928) 775-2545 |
| NPI Number | 1669885802 |
|---|---|
| Provider Enumeration Date | 06/05/2014 |
| Last Update Date | 06/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669885802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | D008900 (Arizona) | Primary |
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