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.
Organization
BRADSHAW MOUNTAIN FAMILY DENTAL GROUP PC
Active
Organization
BRADSHAW MOUNTAIN FAMILY DENTAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID FRAUSTO JR. DDS (PRESIDENT)
(928) 775-9495
Entity
Organization
Contact information
Practice address
7136 PAV WAY, PRESCOTT VALLEY, AZ 86314-2264
(928) 775-9495
Mailing address
7136 PAV WAY, PRESCOTT VALLEY, AZ 86314-2264
(928) 775-9495
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D5639
AZ
Other
Enumeration date
03/04/2008
Last updated
03/04/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers