Individual
JAIMIE MCCAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2119 DEMERSE AVE, PRESCOTT, AZ 86301-1013
(928) 899-5005
Mailing address
2119 DEMERSE AVE, PRESCOTT, AZ 86301-1013
(928) 899-5005
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H008149
AZ
174400000X
Specialist
Primary
H008149
AZ
Other
Enumeration date
05/18/2026
Last updated
05/25/2026
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