Eve S Pence, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D011799 Issued in AZ

Practice address

199 S Candy LN Ste 4a
Cottonwood, AZ 86326-4183

Phone

(928) 634-8046

Fax

(928) 649-0856

NPI assigned

Jun 30, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1982381943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 CALEB CT",
            "city": "CLARKDALE",
            "state": "AZ",
            "postal_code": "863243721",
            "telephone_number": "863-444-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 S CANDY LN STE 4A",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264183",
            "telephone_number": "928-634-8046",
            "fax_number": "928-649-0856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENCE",
        "first_name": "EVE",
        "middle_name": "S",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-30",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D011799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farshid Paydar, MD
• Nancey Payne, LPC
• Peak Solutions Counseling (Desert Foothills COunseling)
• Donald H. Peck, D.C.
• Bruce William Peek, MD
• Melonie Jo Perry
• Jessie Joann Peters, FNP-BC
• Robbie Jon Petsche, LPC
• Kathleen Pettersen
• Gail Kathleen Phelps, DENTAL HYGIENIST

• General Practice Dentistry in Cottonwood, AZ
• Providers in Cottonwood, 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 Jun 30, 2023; 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.