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Contact Information

89A DENTAL CARE PLLC
6455 N VIEWPOINT DR
SUITE 600
PRESCOTT VALLEY, AZ86314-3215
 Phone: 928-775-8989
 Fax: 928-775-8988
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for 89A DENTAL CARE PLLC · (Female)

NPI # 1114333739
Status Active
Credentials
Entity Individual
Enumeration date 07/02/2014
Last updated 07/02/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • AZ License # 20570660-N
  • AZ Medicaid 488902
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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