Great Dentistry PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GREAT DENTISTRY PLLC

Practice address

430 W Finnie Flat Rd
Camp Verde, AZ 86322-7362

Phone

(928) 567-3799

NPI assigned

Sep 12, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Edgardo Nicolas Timpanaro, DMDNPI 1063084200

Title

Officer

Phone

(602) 323-6862

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edgardo Nicolas Timpanaro, DMD

  • Dentist
  • Tucson, AZ
  • NPI 1063084200
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1757635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1063383115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6496 E BROMBIL ST",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863143837",
            "telephone_number": "602-323-6862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 W FINNIE FLAT RD",
            "city": "CAMP VERDE",
            "state": "AZ",
            "postal_code": "863227362",
            "telephone_number": "928-567-3799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-12",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A",
        "authorized_official_last_name": "TIMPANARO",
        "authorized_official_first_name": "EDGARDO",
        "authorized_official_middle_name": "NICOLAS",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "602-323-6862",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adele Furby, LPC
• Renee George
• Marwin E. Goff, DDS
• Ashleigh Gonzalez
• Stephen Graham, DDS
• Haleh Bazargan DDS PLLC
• Rachel K Hansen, CNP
• Leila Hardy, PA-C
• Karin M. Hauenstein
• Haven of Camp Verde Alf, LLC

• General Practice Dentistry in Camp Verde, AZ
• Providers in Camp Verde, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.