Anson Hooper, DDS
Individual provider Active NPI Dentist · Prescott, AZ
NPI 1699334789 · NPPES record last updated Mar 12, 2024
Key facts
- NPI
- 1699334789
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- D010395 (AZ)
- Practice address
- 802 Schemmer Dr
Prescott, AZ 86305-2347 - Phone
- (928) 778-2421
- Fax
- (928) 443-5187
- NPI assigned
- Jun 11, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D010395 | AZ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anson L Hooper DDS PLLC | Current |
Accepting new patients |
Locations
802 Schemmer Dr
Prescott, AZ 86305
Phone (928) 778-2421
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D010395 | AZ | Yes |
Addresses
Primary practice location
802 Schemmer Dr
Prescott, AZ 86305-2347
Mailing address
7693 E Tumble Weed Rd
Prescott Valley, AZ 86315-9028
Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.