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

Bradshaw Mountain Family Dental Group PC

Organization Dental Clinic/Center · NPI 1972773141

Bradshaw Mountain Family Dental Group PC is a Dental Clinic/Center in Prescott Valley, Arizona. Licensed in Arizona. Registered with an NPI since 2008.

Licensed in
AZ
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7136 Pav Way
Prescott Valley, AZ 86314-2264
Phone: (928) 775-9495
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence D5639 (AZ)

Record details

NPI number1972773141
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Frausto — President · (928) 775-9495
NPI enumeratedMarch 4, 2008
Last updated in NPPESMarch 4, 2008
Mailing address7136 Pav Way, Prescott Valley, AZ 86314-2264

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