Provider Demographics
NPI:1376958710
Name:HELD, JONATHAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:
Last Name:HELD
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 SOLDIERS PASS RD STE C
Mailing Address - Street 2:
Mailing Address - City:SEDONA
Mailing Address - State:AZ
Mailing Address - Zip Code:86336-4738
Mailing Address - Country:US
Mailing Address - Phone:928-282-7871
Mailing Address - Fax:928-282-6470
Practice Address - Street 1:80 SOLDIERS PASS RD STE C
Practice Address - Street 2:
Practice Address - City:SEDONA
Practice Address - State:AZ
Practice Address - Zip Code:86336-4738
Practice Address - Country:US
Practice Address - Phone:928-282-7871
Practice Address - Fax:928-282-6470
Is Sole Proprietor?:No
Enumeration Date:2014-06-24
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD101331223G0001X
SDD10581223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice