Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bradshaw Mountain Family Dental

Organization Preferred Provider Organization · NPI 1861855884

Bradshaw Mountain Family Dental is a Preferred Provider Organization in Prescott Valley, Arizona. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

7136 Pav Way
Prescott Valley, AZ 86314-2264
Phone: (928) 775-9495
Fax: (928) 775-9497
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Preferred Provider Organization (primary) Taxonomy 305R00000X

Record details

NPI number1861855884
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Frausto — Owner · (928) 775-9495
Other names Bradshaw Family Dental
NPI enumeratedMarch 29, 2016
Last updated in NPPESMarch 29, 2016
Mailing address7136 Pav Way, Prescott Valley, AZ 86314-2264