# GREAT DENTISTRY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063383115
- **Authorized official:** EDGARDO NICOLAS TIMPANARO DMD (OFFICER)
- **Authorized official phone:** (602) 323-6862

## Contact information

- **Practice address:** 430 W FINNIE FLAT RD, CAMP VERDE, AZ 86322-7362
- **Practice address phone:** (928) 567-3799
- **Mailing address:** 6496 E BROMBIL ST, PRESCOTT VALLEY, AZ 86314-3837
- **Mailing address phone:** (602) 323-6862

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 09/12/2025
- **Last updated:** 09/12/2025