# PRESCOTT SMILE CARE

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

## Provider details

- **NPI number:** 1366639676
- **Authorized official:** DR. TOMMY CURTIS BOWMAN DDS (DENTIST/OWNER)
- **Authorized official phone:** (928) 445-8503

## Contact information

- **Practice address:** 1055 RUTH ST, SUITE \#8, PRESCOTT, AZ 86301-1740
- **Practice address phone:** (928) 445-8503
- **Practice address fax:** (928) 445-3268
- **Mailing address:** 1055 RUTH ST, SUITE \#8, PRESCOTT, AZ 86301-1740
- **Mailing address phone:** (928) 445-8503
- **Mailing address fax:** (928) 445-3268

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4830 | AZ | Yes |

## Other

- **Enumeration date:** 10/01/2007
- **Last updated:** 10/01/2007