# SUNWEST DENTAL CENTER, III LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SUNWEST DENTAL CENTER III, LLC
- **Other names:** Sunwest Dental Prescott
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1285956524
- **Legal business name:** SUNWEST DENTAL CENTER III, LLC
- **Authorized official:** TRACEY DALTON (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (623) 640-0267

## Contact information

- **Practice address:** 8256 E. HIGHWAY 69, PRESCOTT VALLEY, AZ 86314-8631
- **Practice address phone:** (928) 772-4433
- **Practice address fax:** (928) 772-5582
- **Mailing address:** 8256 E. HIGHWAY 69, PRESCOTT VALLEY, AZ 86314
- **Mailing address phone:** (602) 354-5800
- **Mailing address fax:** (602) 354-5860

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4013 | AZ | Yes |

## Other

- **Enumeration date:** 02/26/2010
- **Last updated:** 07/14/2021