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

Prescott Valley Endodontic Associates, PLLC

Organization Endodontics · NPI 1639783749

Prescott Valley Endodontic Associates, PLLC is an Endodontics in Prescott Valley, Arizona. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

8053 E Florentine Rd
Prescott Valley, AZ 86314-9423
Phone: (928) 771-1640
Fax: (928) 771-1640
Show map & directions

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

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X

Record details

NPI number1639783749
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPrescott Endodontic Associates PC
Authorized official Jordan Ohlson — Manager · (928) 771-1640
NPI enumeratedSeptember 4, 2020
Last updated in NPPESSeptember 4, 2020
Certification dateSeptember 4, 2020
Mailing address1658 Oaklawn Dr, Prescott, AZ 86305-1110