Prescott Smile Care

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4830 Issued in AZ

Legal business name

PRESCOTT SMILE CARE

Practice address

1055 Ruth St
Suite #8
Prescott, AZ 86301-1740

Phone

(928) 445-8503

Fax

(928) 445-3268

NPI assigned

Oct 1, 2007

Last updated

Oct 1, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tommy Curtis Bowman, DDSNPI 1780702274

Title

Dentist/Owner

Phone

(928) 445-8503

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, and the practitioner matching its NPPES authorized official.

• Tommy Curtis Bowman, DDS

  • Dentist
  • Prescott, AZ
  • NPI 1780702274
  Authorized official Same address or phone

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1366639676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 RUTH ST",
            "address_2": "SUITE #8",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011740",
            "telephone_number": "928-445-8503",
            "fax_number": "928-445-3268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 RUTH ST",
            "address_2": "SUITE #8",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011740",
            "telephone_number": "928-445-8503",
            "fax_number": "928-445-3268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESCOTT SMILE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "TOMMY",
        "authorized_official_middle_name": "CURTIS",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "928-445-8503",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "4830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prescott Radiation Oncology Specialists LLC (Prescott Cancer Specialists)
• Prescott Radiologists LLP (Prescott Imaging Center)
• Prescott Recovery Services LLC
• Prescott Relationship Center, PLLC
• Prescott Sleep Solutions Inc
• Prescott Speech & Language Services Inc.
• Prescott Surgical Clinic PA
• Prescott Unified School District
• Prescott Unified School District
• Prescott Unified School District #1

• General Practice Dentistry in Prescott, AZ
• Providers in Prescott, 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 Oct 1, 2007; 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.