OrganizationActive
Prescott Valley Endodontic Associates, PLLC
NPI 1639783749 · Endodontics · Prescott Valley, AZ
Prescott Valley Endodontic Associates, PLLC is a Endodontics organization in Prescott Valley, AZ (NPI 1639783749).
Provider details
- NPI number
- 1639783749
- Entity type
- Organization
- Primary specialty
- EndodonticsDental Providers
- Parent organization
- Prescott Endodontic Associates PC
- Organization subpart
- Yes
- Authorized official
- Jordan Ohlson, Manager(928) 771-1640
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8053 E Florentine Rd
Prescott Valley, AZ 86314-9423
Phone: (928) 771-1640
Fax: (928) 771-1640
Street-level locationGet directions
Mailing address
1658 Oaklawn Dr
Prescott, AZ 86305-1110
Registry dates
- Enumerated
- 2020-09-04
- Last updated
- 2020-09-04
- Certified
- 2020-09-04
Frequently asked questions
- What is Prescott Valley Endodontic Associates, PLLC's NPI number?
- Prescott Valley Endodontic Associates, PLLC's National Provider Identifier (NPI) is 1639783749, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prescott Valley Endodontic Associates, PLLC?
- Prescott Valley Endodontic Associates, PLLC is classified in the NPPES registry as Endodontics (Dental Providers).
- Where is Prescott Valley Endodontic Associates, PLLC located?
- Prescott Valley Endodontic Associates, PLLC's practice location on file with NPPES is 8053 E Florentine Rd, Prescott Valley, AZ 86314-9423.
- What is Prescott Valley Endodontic Associates, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Prescott Valley Endodontic Associates, PLLC is (928) 771-1640.
- Who is the authorized official for Prescott Valley Endodontic Associates, PLLC?
- The authorized official listed on Prescott Valley Endodontic Associates, PLLC's NPPES record is Jordan Ohlson, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prescott Valley Endodontic Associates, PLLC's NPI active?
- Yes — Prescott Valley Endodontic Associates, PLLC's NPI (1639783749) is active in the NPPES registry as of the last update on 2020-09-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.