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

Prescott Periodontics & Implant Dentistry, PLLC

Organization Periodontics · NPI 1891244281

Prescott Periodontics & Implant Dentistry, PLLC is a Periodontics in Prescott, Arizona. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1229 Willow Creek Rd
Prescott, AZ 86301-1427
Phone: (928) 778-2340
Fax: (928) 778-3646
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X

Record details

NPI number1891244281
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Jirsa — Periodontist · (928) 778-2340
NPI enumeratedSeptember 26, 2016
Last updated in NPPESSeptember 26, 2016
Mailing address1229 Willow Creek Rd, Prescott, AZ 86301-1427

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