# CRANMER LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** PV Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306350459
- **Authorized official:** DR. HAROLD HENDERSON DDS (OWNER/DENTIST)
- **Authorized official phone:** (928) 772-9175

## Contact information

- **Practice address:** 8154 E FLORENTINE RD STE B, PRESCOTT VALLEY, AZ 86314-8487
- **Practice address phone:** (928) 772-8175
- **Practice address fax:** (928) 772-8351
- **Mailing address:** 8154 E FLORENTINE RD STE B, PRESCOTT VALLEY, AZ 86314-8487
- **Mailing address phone:** (928) 772-8175
- **Mailing address fax:** (928) 772-8351

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 9195 | AZ | Yes |

## Other

- **Enumeration date:** 11/28/2017
- **Last updated:** 11/28/2017