IndividualActive
Edward Kirk, D.D.S.
NPI 1366510372 · General Practice Dentistry · Wickenburg, AZ
Provider details
- NPI number
- 1366510372
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- License
- D5131 (AZ)
Specialties & taxonomies
Dental Providers
Practice location
1175 W Wickenburg Way Ste 1
Wickenburg, AZ 85390-2262
Phone: (928) 684-5475
Fax: (928) 684-1145
Approximate (ZIP-level) locationGet directions
Mailing address
1175 W Wickenburg Way Ste 1
Wickenburg, AZ 85390-2262
Registry dates
- Enumerated
- 2006-11-30
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.