Bonanza Square Dentistry Llc
Dentist - General Practice
About Bonanza Square Dentistry Llc
Bonanza Square Dentistry Llc is a healthcare organization providing Dentist - General Practice services, with specialized expertise in General Practice, registered under National Provider Identifier (NPI) number 1104019918.
The authorized official for Bonanza Square Dentistry Llc is ELDON JENKINS. The organization is headquartered at 200 W FRONTIER ST, Payson, Arizona 85541. The main office can be reached at (928) 472-2500.
Bonanza Square Dentistry Llc has been NPI-registered since 2007.
Locations & Contact
Primary Location
- Address
- 200 W FRONTIER ST
- City
- Payson
- State
- Arizona
- ZIP
- 85541
- Phone
- (928) 472-2500
- Fax
- (928) 472-6699
Authorized Official
- Name
- ELDON JENKINS
Mailing Address
- Address
- 200 W FRONTIER ST
- City
- PAYSON
- State
- AZ
- ZIP
- 85541
NPI Registration
- Enumeration Date
- Last Updated
- Certification Date
Services & Taxonomy
Specialty & Classification
- Primary Specialty
- Dentist - General Practice
- Classification
- Dentist
- Specialization
- General Practice
- Taxonomy Code
- 1223G0001X
Medicare Enrollment
- Medicare Enrolled
- No
- Can Order/Refer
- No
- Telehealth
- No
- Excluded
- No
Frequently Asked Questions
What is Bonanza Square Dentistry Llc's NPI number?
What does Bonanza Square Dentistry Llc specialize in?
Where is Bonanza Square Dentistry Llc located?
Does Bonanza Square Dentistry Llc accept Medicare?
Does Bonanza Square Dentistry Llc offer telehealth or virtual visits?
What is a Type 2 NPI (Organization)?
A Type 2 NPI is assigned to healthcare organizations such as hospitals, group practices, clinics, and other medical entities. Unlike Type 1 NPIs issued to individual providers, a Type 2 NPI identifies the organization itself and is used for billing, claims processing, and identification in healthcare transactions. Bonanza Square Dentistry Llc holds NPI 1104019918, which serves as its unique identifier across all Medicare and HIPAA-covered transactions.