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.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.