PRESCOTT PERIODONTICS & IMPLANT DENTISTRY, PLLC
NPI 1891244281
Dentist - Periodontics in Prescott, AZ

Q: What is Prescott Periodontics & Implant Dentistry, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Active since September 26, 2016

1229 WILLOW CREEK RD, PRESCOTT, AZ 86301(928) 778-2340(928) 778-3646 Get Directions Write a Review

NPPES record last updated: September 26, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Prescott Periodontics & Implant Dentistry, Pllc NPPES

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

PRESCOTT PERIODONTICS & IMPLANT DENTISTRY, PLLC (NPI 1891244281) is a healthcare organization registered as a periodontics in Prescott, Arizona and active in the NPI registry since September 2016. The organization lists Richard Charles Jirsa, Periodontist, as its authorized official.

NPPES Registry Identity

NPI1891244281

Entity TypeOrganization

Primary Taxonomy1223P0300X

Legal Business NamePRESCOTT PERIODONTICS & IMPLANT DENTISTRY, PLLC

Location Address1229 WILLOW CREEK RDPrescott, AZ 86301-1427

Mailing Address1229 Willow Creek RdPrescott, AZ 86301-1427 · (928) 778-2340 · Fax (928) 778-3646

Phone(928) 778-2340

Fax(928) 778-3646

Organization SubpartNo

Authorized OfficialRichard Charles JirsaPeriodontist · (928) 778-2340

Enumeration DateSeptember 26, 2016

✔ NPI 1891244281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

1229 WILLOW CREEK RD, Prescott, AZ 86301

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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.

DR. RICHARD C. JIRSA DDS

Dentist (Periodontics)

1229 WILLOW CREEK RD
PRESCOTT, AZ 86301

Yavapai County (928) 778-2340

KYLE P CARTER DMD PLLC

Clinic/Center (Dental)

1229 WILLOW CREEK RD
PRESCOTT, AZ 86301

Yavapai County (928) 778-4110

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 Periodontics & Implant Dentistry, PLLC's NPI number?

The NPI number for Prescott Periodontics & Implant Dentistry, PLLC is 1891244281. It was assigned to this organization in the NPPES registry on September 26, 2016.

Where is Prescott Periodontics & Implant Dentistry, PLLC located?

Prescott Periodontics & Implant Dentistry, PLLC is located at 1229 Willow Creek Rd, Prescott, AZ 86301. The listed phone number is (928) 778-2340.

What is Prescott Periodontics & Implant Dentistry, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Prescott Periodontics & Implant Dentistry, PLLC was last updated on September 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.