DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BONANZA SQUARE DENTISTRY LLC

Active Organization

BONANZA SQUARE DENTISTRY LLC is a General Dentistry organization located in PAYSON, Arizona. NPI 1104019918 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · PAYSON, AZ

Registration Details

NPI Number
1104019918
Provider Type
Organization
NPI Issued
Aug 24, 2007 (18.963066868427 yrs)
Last Updated
Aug 24, 2007
License
D5797 (AZ)

Practice Information

Address
200 W FRONTIER ST
SUITE 5
PAYSON, AZ, 85541
Browse AZ providers · Browse ZIP 85541
Phone
9284722500
Fax
9284726699
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Organizations in PAYSON, AZ

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.