Bonanza Square Dentistry Llc is a Dental Clinic in Payson, Arizona. It is located at 200 W Frontier St, Suite 5, Payson, AZ and its contact number is 928-472-2500. The authorized person for Bonanza Square Dentistry Llc is Mr. Eldon Dwayne Jenkins
who is Owner of the clinic and their contact number is 480-205-2476. The primary license number for Bonanza Square Dentistry Llc is D5797 (General Practice) in Arizona. Bonanza Square Dentistry Llc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Bonanza Square Dentistry Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Bonanza Square Dentistry Llc
Specialization:
General Practice Dentistry
Clinic Address:
200 W Frontier St, Suite 5, Payson, Arizona, 85541
Phone:
928-472-2500
Fax:
928-472-6699
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Mr. Eldon Dwayne Jenkins
Position:
Owner
Contact Number:
480-205-2476
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Bonanza Square Dentistry Llc clinic are as mentioned below.
NPI Number:
1104019918
NPI Enumeration Date:
24 Aug, 2007
NPI Last Update On:
24 Aug, 2007
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Bonanza Square Dentistry Llc are as mentioned below.
Specialization
License Number
State
Status
General Practice
D5797
Arizona
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Bonanza Square Dentistry Llc 200 W Frontier St, Suite 5 Payson, Arizona
Zip:
85541
Phone Number:
928-472-2500
Fax Number:
928-472-6699
Patients can reach Bonanza Square Dentistry Llc at 200 W Frontier St, Suite 5, Payson, Arizona or can call to book an appointment on 928-472-2500. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.