SUNWEST DENTAL CENTER, III LLC (NPI# 1285956524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285956524 |
| Entity Type | Organization |
| Organization Name | SUNWEST DENTAL CENTER, III LLC |
| Other Organization Name | SUNWEST DENTAL PRESCOTT |
| Practice Address |
8256 E. Highway 69 Prescott Valley AZ 86314-8631 |
| Mailing Address |
4425 N 24th St Ste 100 Phoenix AZ 85016-5513 |
| Practice Telephone | 9287724433 |
| Practice Fax Number | 9287725582 |
| Mailing Telephone | 6023545800 |
| Mailing Fax Number | 6023545860 |
| Enumeration Date | 2010-02-26 |
| Last Update Date | 2019-09-03 |
| Authorized Official Name | TRACEY DALTON (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 6236400267 |
| Is Organization Subpart | Y |
| Parent Organization Name | SUN WEST DENTAL CENTER III, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
4013 | AZ | Dental Providers |
| Other Name | Type Code |
|---|---|
| Sunwest Dental Center | Former Legal Business Name - Organization |
| Sunwest Dental Prescott | Doing Business As Name - Organization |
| Street Address |
8256 E. HIGHWAY 69 |
| City | PRESCOTT VALLEY |
| State | AZ |
| Zip Code | 86314-8631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992326029 | Sequelcare of Arizona | Community Based Residential Treatment Facility, Mental Illness | 3001 N. Mountain View Rd, Prescott Valley, AZ 86314 | 2020-04-29 |
| 1124666516 | Best Care Behavioral Homes LLC | Community/Behavioral Health | 5385 W Saddleback Drive, Prescott Valley, AZ 86314 | 2019-12-16 |
| 1912541558 | The Stateserv Companies, LLC | Durable Medical Equipment & Medical Supplies | 8926 E. Long Mesa Drive, Prescott Valley, AZ 86314 | 2019-11-06 |
| 1003398983 | Richard Telck | Pharmacist | 7720 E. Highway 69, Prescott Valley, AZ 86314 | 2018-09-06 |
| 1912493065 | Akdhc,llc | Internal Medicine | 7862 E Florentine Rd, Suite 120, Prescott Valley, AZ 86314 | 2018-07-02 |
| 1700377983 | Pronghorn Psychiatry | Clinic/Center | 5940 E. Copper Hill Dr, Suite E, Prescott Valley, AZ 86314 | 2018-05-23 |
| 1689185126 | Thumb Butte Urgent Care | Clinic/Center | 6496 East Highway 69, Prescott Valley, AZ 86314 | 2017-10-23 |
| 1740738046 | Janine Kauffmann | Pharmacist | 7720 East Highway 69, Prescott Valley, AZ 86314 | 2016-09-14 |
| 1528415650 | Nazcare, Inc. | Exclusive Provider Organization | 8200 E. Jacque Dr., Prescott Valley, AZ 86314 | 2016-05-18 |
| 1184087009 | William Beverly | Marriage & Family Therapist | 8603 E. Eastridge Dr., Ste A, Prescott Valley, AZ 86314 | 2016-03-29 |
| Find all providers in zip 86314 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871803825 | Florencia Hernandez | Dentist | 8256 E State Route 69, Prescott Valley, AZ 86314-8403 | 2010-10-08 |
| 1124270541 | Highland Dental,pllc | Dentist | 3253 North Windsong Drive, Prescott Valley, AZ 86314 | 2008-10-16 |
| 1629252861 | Robert Dallas Branstrator | Dentist | 3253 N Windsong Dr, Prescott Valley, AZ 86314-1222 | 2007-12-24 |
| 1134276827 | Russel E. Dalton | Dentist | 8066 E Florentine Rd, Prescott Valley, AZ 86314-9422 | 2007-01-04 |
| 1508928169 | Kim Roberts | Dentist | 3212 N Windsong Dr Fl 2, Prescott Valley, AZ 86314-2255 | 2006-12-13 |
| 1033226048 | David Reginald Hunsaker | Dentist | 7890 E Florentine Rd, Prescott Valley, AZ 86314 | 2006-08-24 |
| 1710448956 | Hillary Koh | Dentist | 3264 N Glassford Hill Rd Ste A, Prescott Valley, AZ 86314-1353 | 2019-03-29 |
| 1306307004 | Michael David Kleeman | Dentist | 7890 E Florentine Rd, Prescott Valley, AZ 86314-1204 | 2019-03-26 |
| 1023504297 | Jonathan Park | Dentist | 7890 E Florentine Rd, Prescott Valley, AZ 86314-1204 | 2018-07-10 |
| 1336633981 | Sarah Anne Hansen | Dentist | 3264 N Glassford Hill Rd Ste A, Prescott Valley, AZ 86314-1353 | 2018-06-18 |
| Find all providers in PRESCOTT VALLEY | ||||
| City | PRESCOTT VALLEY |
| Zip Code | 86314 |
Please comment or provide details below to improve the information on SUNWEST DENTAL CENTER, III LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.