Organization
GREAT DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDGARDO NICOLAS TIMPANARO DMD (OFFICER)
(602) 323-6862
Entity
Organization
Contact information
Practice address
430 W FINNIE FLAT RD, CAMP VERDE, AZ 86322-7362
(928) 567-3799
Mailing address
6496 E BROMBIL ST, PRESCOTT VALLEY, AZ 86314-3837
(602) 323-6862
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/12/2025
Last updated
09/12/2025
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