OrganizationActive
An Elegant Smile P.C.
NPI 1255564506 · General Practice Dentistry · Prescott, AZ
An Elegant Smile P.C. is a General Practice Dentistry organization in Prescott, AZ (NPI 1255564506).
Provider details
- NPI number
- 1255564506
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Monica Vitela, Credentialing Coordinator(602) 482-7000
- License
- 5979 (AZ)
Practice location
980 Willow Creek Rd Ste 103
Prescott, AZ 86301-1619
Phone: (928) 445-1682
Fax: (928) 445-2963
Street-level locationGet directions
Mailing address
980 Willow Creek Rd Ste 103
Prescott, AZ 86301-1619
Registry dates
- Enumerated
- 2009-09-02
- Last updated
- 2009-09-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.