# WHITE MOUNTAIN ENDODONTICS PLLC

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

## Provider details

- **NPI number:** 1255051223
- **Authorized official:** DR. JEREMY HARGROVE DMD, MSD (OWNER)
- **Authorized official phone:** (928) 243-8598

## Contact information

- **Practice address:** 2051 EVERGREEN LN, SHOW LOW, AZ 85901-7928
- **Practice address phone:** (928) 457-1200
- **Practice address fax:** (928) 457-1199
- **Mailing address:** 2051 EVERGREEN LN STE A, SHOW LOW, AZ 85901-7928
- **Mailing address phone:** (928) 457-1200
- **Mailing address fax:** (928) 457-1199

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | NULL | Yes |
| 1223E0200X | Endodontics | — | — | Yes |

## Other

- **Enumeration date:** 08/30/2022
- **Last updated:** 11/07/2022