Bonanza Square Dentistry LLC
About this NPIWhat this record shows.
NPI 1104019918 is registered to Bonanza Square Dentistry LLC, a healthcare organisation classified as "General Practice Dentistry" and located at 200 W Frontier St, Suite 5 in Payson, Arizona. The organisation's authorised official is Eldon Jenkins. The organisation has been enumerated in the NPI registry since 2007.
Your brand here.
Insurance & acceptsHow to confirm coverage.
The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Bonanza Square Dentistry LLC accepts. To confirm in-network status with your specific health plan, contact Bonanza Square Dentistry LLC directly at (928) 472-2500.
Frequently asked
Yes. NPI 1104019918 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.
General Practice Dentistry is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.
The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (928) 472-2500.
An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Bonanza Square Dentistry LLC is a Type-2 organisational NPI.