Active NPI
Horizon Dental PDC PLLC
Doing business as Horizon Dental
- General Practice Dentistry
- Prescott, AZ
National Provider Identifier
1053150987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- HORIZON DENTAL PDC PLLC
- Doing business as
- Horizon Dental
- Practice address
- 919 12TH PL Ste 7
Prescott, AZ 86305-1433 - Phone
- (928) 641-4000
- Fax
- (928) 285-5835
- NPI assigned
- May 21, 2024
- Last updated
- May 21, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Christensen
- Title
- Credentialing Specialist
- Phone
- (801) 305-3460
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | NU | Primary |
Addresses
Primary practice location
919 12TH PL Ste 7
Prescott, AZ 86305-1433
Mailing address
355 S 520 W
250
Lindon, UT 84042-1976
Phone (801) 305-3460
Other names 1
- Horizon Dental
National Provider Directory
National Provider DirectoryLocations
919 12th Pl
Ste 7
Prescott, AZ 86305
Phone (602) 778-5600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716249600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716249600000",
"number": "1053150987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 S 520 W",
"address_2": "250",
"city": "LINDON",
"state": "UT",
"postal_code": "840421976",
"telephone_number": "801-305-3460",
"fax_number": "801-355-6551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "919 12TH PL STE 7",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863051433",
"telephone_number": "928-641-4000",
"fax_number": "928-285-5835"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HORIZON DENTAL PDC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-21",
"last_updated": "2024-05-21",
"certification_date": "2024-05-21",
"status": "A",
"authorized_official_last_name": "CHRISTENSEN",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "801-305-3460"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Horizon Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.