Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prescott Valley Endodontic Associates, PLLC

Organization Endodontics · NPI 1639783749

Prescott Valley Endodontic Associates, PLLC provides Endodontics in Prescott Valley, Arizona. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

8053 E Florentine Rd
Prescott Valley, AZ 86314-9423
Phone: (928) 771-1640
Fax: (928) 771-1640
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X

Record details

NPI number1639783749
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPrescott Endodontic Associates PC
Authorized official Jordan Ohlson — Manager · (928) 771-1640
NPI enumeratedSeptember 4, 2020
Last updated in NPPESSeptember 4, 2020
Certification dateSeptember 4, 2020
Mailing address1658 Oaklawn Dr, Prescott, AZ 86305-1110