PRESCOTT VALLEY ENDODONTIC ASSOCIATES, PLLC
NPI 1639783749
Dentist - Endodontics in Prescott Valley, AZ

Active since September 04, 2020
8053 E FLORENTINE RD, PRESCOTT VALLEY, AZ 86314(928) 771-1640(928) 771-1640 Get Directions Write a Review

NPPES record last updated: September 4, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Prescott Valley Endodontic Associates, Pllc NPPES

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

PRESCOTT VALLEY ENDODONTIC ASSOCIATES, PLLC (NPI 1639783749) is a healthcare organization registered as an endodontics in Prescott Valley, Arizona and active in the NPI registry since September 2020. The organization lists Jordan Ohlson, Manager, as its authorized official.

NPPES Registry Identity

NPI1639783749
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NamePRESCOTT VALLEY ENDODONTIC ASSOCIATES, PLLC
Location Address8053 E FLORENTINE RDPrescott Valley, AZ 86314-9423
Mailing Address1658 Oaklawn DrPrescott, AZ 86305-1110 · (928) 771-1640 · Fax (928) 771-1640
Fax(928) 771-1640
Organization SubpartYesParent: Prescott Endodontic Associates Pc
Authorized OfficialJordan OhlsonManager · (928) 771-1640
Enumeration DateSeptember 4, 2020
NPPES CertifiedSeptember 4, 2020
NPI 1639783749 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.
8053 E FLORENTINE RD, Prescott Valley, AZ 86314

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 2

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

Dentist
8053 E FLORENTINE RD
PRESCOTT VALLEY, AZ 86314
Dentist
8053 E FLORENTINE RD
PRESCOTT VALLEY, AZ 86314

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 Prescott Valley Endodontic Associates, PLLC's NPI number?

The NPI number for Prescott Valley Endodontic Associates, PLLC is 1639783749. It was assigned to this organization in the NPPES registry on September 4, 2020.

Where is Prescott Valley Endodontic Associates, PLLC located?

Prescott Valley Endodontic Associates, PLLC is located at 8053 E Florentine Rd, Prescott Valley, AZ 86314. The listed phone number is (928) 771-1640.

What is Prescott Valley Endodontic Associates, 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 Prescott Valley Endodontic Associates, PLLC was last updated on September 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.