Horizon Dental Group Prescott, Llc
LBN: Horizon Dental Group Prescott, Llc
Horizon Dental Group Prescott, Llc is an health care organization with primary practice located at 919 12Th Pl , Prescott AZ 86305-1433. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty.
Horizon Dental Group Prescott, Llc can be contacted via phone (928) 925-6522, or through Thompson, Kelcie via phone (928) 925-6522.
Contact Information
Primary practice address
919 12Th Pl
Prescott AZ 86305-1433
Phone: (928) 925-6522
Fax: (928) 636-1164
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | D5634 | Arizona |
Dental Providers / General Practice | 1223G0001X | D8489 | Arizona |
Dental Providers / General Practice | 1223G0001X | D8753 | Arizona |
Profile Details
NPI number | 1063897411 |
---|---|
LBN Legal business name | Horizon Dental Group Prescott, Llc |
DBA Doing business as | |
Authorized official | Thompson, Kelcie |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jul 28th, 2015 |
Last updated | Jul 28th, 2015 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1063897411 | NPPES |
Arizona | MEDICAID | 824155 | |
Arizona | MEDICAID | 703042 | |
Arizona | MEDICAID | 731456 |
Popular Providers
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