WHITE MOUNTAIN ENDODONTICS PLLC
NPI 1255051223
Dentist - Endodontics in Show Low, AZ

Active since August 30, 2022
2051 EVERGREEN LN, SHOW LOW, AZ 85901(928) 457-1200(928) 457-1199 Get Directions Write a Review

NPPES record last updated: November 7, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 7, 2022, Aug 30, 2022 (2 updates tracked since 2022).

About White Mountain Endodontics Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WHITE MOUNTAIN ENDODONTICS PLLC (NPI 1255051223) is a healthcare organization registered as an endodontics in Show Low, Arizona and active in the NPI registry since August 2022. The organization lists Jeremy Hargrove, Owner, as its authorized official.

NPPES Registry Identity

NPI1255051223
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameWHITE MOUNTAIN ENDODONTICS PLLC
Location Address2051 EVERGREEN LNShow Low, AZ 85901-7928
Mailing Address2051 Evergreen Ln Ste AShow Low, AZ 85901-7928 · (928) 457-1200 · Fax (928) 457-1199
Fax(928) 457-1199
Organization SubpartNo
Authorized OfficialJeremy HargroveOwner · (928) 243-8598
Enumeration DateAugust 30, 2022
Last NPPES UpdateNovember 7, 20222 updates tracked since enumeration
NPPES CertifiedNovember 7, 2022
NPI 1255051223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
2051 EVERGREEN LN, Show Low, AZ 85901

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pain Medicine (Pain Medicine)
2051 EVERGREEN LN, #8
SHOW LOW, AZ 85901
Otolaryngology
2051 EVERGREEN LN, SUITE B
SHOW LOW, AZ 85901
Family Medicine
2051 EVERGREEN LN, SUITE D
SHOW LOW, AZ 85901
Family Medicine
2051 EVERGREEN LN, SUITE D
SHOW LOW, AZ 85901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is White Mountain Endodontics PLLC's NPI number?

The NPI number for White Mountain Endodontics PLLC is 1255051223. It was assigned to this organization in the NPPES registry on August 30, 2022.

Where is White Mountain Endodontics PLLC located?

White Mountain Endodontics PLLC is located at 2051 Evergreen Ln, Show Low, AZ 85901. The listed phone number is (928) 457-1200.

What is White Mountain Endodontics PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for White Mountain Endodontics PLLC was last updated on November 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.