# SEDONA DENTISTRY

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

## Provider details

- **NPI number:** 1194240929
- **Authorized official:** DR. PHILLIP PLOURDE DMD (DENTIST / BUSINESS PARTNER)
- **Authorized official phone:** (602) 615-3269

## Contact information

- **Practice address:** 1785 W HIGHWAY 89A STE 3G, SEDONA, AZ 86336-5577
- **Practice address phone:** (928) 282-9414
- **Mailing address:** 1785 W HIGHWAY 89A STE 3G, SEDONA, AZ 86336-5577
- **Mailing address phone:** (928) 282-9414

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D009737 | AZ | Yes |

## Other

- **Enumeration date:** 08/14/2017
- **Last updated:** 07/21/2022