FLAGSTAFF PEDIATRIC DENTISTRY, P.C. (NPI# 1710011374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710011374 |
Entity Type | Organization |
Organization Name | FLAGSTAFF PEDIATRIC DENTISTRY, P.C. |
Practice Address |
906 W University Ave Suite 110 Flagstaff AZ 86001-2986 |
Practice Telephone | 9287741219 |
Mailing Telephone | 9287741219 |
Enumeration Date | 2007-03-15 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. ALAN B. DOWELL (PRESIDENT) |
Authorized Official Telephone | 9287741219 |
Authorized Official Credential | D.D.S. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
3830 | AZ | Dental Providers |
Street Address |
906 W UNIVERSITY AVE SUITE 110 |
City | FLAGSTAFF |
State | AZ |
Zip Code | 86001-2986 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750319372 | James D Mccallum | Physical Therapist | 906 W University Ave, Suite 120, Flagstaff, AZ 86001-2986 | 2006-06-30 |
1457880338 | Tiana Tallant | Physical Therapist | 906 W University Ave, Flagstaff, AZ 86001-2986 | 2017-06-05 |
1447608260 | Cora Louise Braun | Physical Therapist | 906 W University Ave, Suite 120, Flagstaff, AZ 86001-2986 | 2016-06-02 |
1689044935 | Ken Baumgartner | Behavioral Analyst | 906 W University Ave, Suite 120, Flagstaff, AZ 86001-2986 | 2015-09-30 |
1841577707 | Katie Elizabeth Pierce | Physical Therapist | 906 W University Ave, Suite 120, Flagstaff, AZ 86001-2986 | 2011-11-07 |
1609007111 | Colleen Gest | Physical Therapist | 906 W University Ave, Suite 120, Flagstaff, AZ 86001-2986 | 2009-07-31 |
1235376427 | Rebecca Watson | Behavioral Analyst | 906 W University Ave, Suite 120, Flagstaff, AZ 86001-2986 | 2009-01-09 |
1699910877 | Behavioral Consultation Services of Northern Arizona | Early Intervention Provider Agency | 906 W University Ave, Suite 120, Flagstaff, AZ 86001-2986 | 2008-12-02 |
1659572147 | Corebalance Therapy LLC | Physical Medicine & Rehabilitation | 906 W University Ave, Suite 120, Flagstaff, AZ 86001 | 2007-05-30 |
1467518241 | Lesley Diana Lutes | Psychologist | 906 W University Ave, Ste 120, Flagstaff, AZ 86001 | 2006-12-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427658756 | Marlenne Adair Escobar-mendoza | Specialist/Technologist | 1705 South San Francisco Street, Flagstaff, AZ 86001 | 2020-10-27 |
1962033712 | Laura-lee Prescott | Social Worker | Northern Az Va Healthcare System, Flagstaff Cboc, 1300 W. University Ave., Suite 300, Flagstaff, AZ 86001 | 2020-01-30 |
1194360784 | Trinity Medical Consultants Pllc | Internal Medicine | 1521 N Cliff Drive, Flagstaff, AZ 86001 | 2019-11-07 |
1154849610 | Altacare, LLC | Family Medicine | 2700 S Woodlands Village Blvd Ste 700, Flagstaff, AZ 86001 | 2017-09-05 |
1487174926 | Lindsey Marie Forstie | Nurse Practitioner | 7263 E Dreamview Trail, Flagstaff, AZ 86001 | 2017-06-26 |
1255860763 | Welbrook Senior Living Flagstaff LLC | Skilled Nursing Facility | 1521 N Pine Cliff Dr, Flagstaff, AZ 86001 | 2017-06-08 |
1912432675 | Ryan Tiscareno | Specialist/Technologist | 621 West Cherry Ave, Flagstaff, AZ 86001 | 2017-05-01 |
1629432380 | Behavioral Consultation Services, Inc. | Clinic/Center | 345 S. River Run Road, Suite 200, Flagstaff, AZ 86001 | 2016-04-08 |
1275920928 | Junli Gallagher | Speech-Language Pathologist | 1215 N. Beaver St, Flagstaff, AZ 86001 | 2015-04-21 |
1932592599 | Kristen Flugstad Psyd, LLC | Psychologist | 125 East Elm Avenue #203, Flagstaff, AZ 86001 | 2015-03-06 |
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Taxonomy Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043452030 | David W Ho | Dentist | 1024 N San Francisco St Ste 101, Flagstaff, AZ 86001-3266 | 2009-04-06 |
1982781910 | Alan Byrd Dowell | Dentist | 906 W University Ave Ste 110, Flagstaff, AZ 86001-7115 | 2006-11-01 |
1942304068 | Thomas Wishard Turnbull | Dentist | 1024 N San Francisco, Suite 101, Flagstaff, AZ 86001 | 2006-09-11 |
1508863523 | Douglas L. Campbell | Dentist | 750 N Kendrick St, Suite 300, Flagstaff, AZ 86001-1586 | 2005-07-05 |
1831344167 | Around The Mountain Pediatric Dentistry Pllc | Dentist | 1024 N San Francisco St, Suite 101, Flagstaff, AZ 86001-3266 | 2008-12-01 |
1760544704 | Thomas W Turnbull Dds PC | Dentist | 1024 N San Francisco St, Suite 101, Flagstaff, AZ 86001 | 2006-12-15 |
1699879700 | Kirk James Robertson | Dentist | 1024 N San Francisco, Suite 101, Flagstaff, AZ 86001 | 2006-09-11 |
1316041437 | Jessica Lorraine Robertson | Dentist | 1024 N San Francisco, Suite 101, Flagstaff, AZ 86001 | 2006-09-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881206274 | Totally Kids Dental P.C. | Dentist | 602 W Union Hills Dr Ste 9, Phoenix, AZ 85027-6629 | 2020-08-18 |
1033750724 | Mesa Valley Dental LLC | Dentist | 1220 S Higley Rd Ste 206, Mesa, AZ 85206-4002 | 2019-10-03 |
1942841663 | Mesa Kidtastic Dental LLC | Dentist | 1240 W Southern Ave Ste 112, Mesa, AZ 85202-4882 | 2019-10-03 |
1497396170 | Gilbert Kidtastic Dental LLC | Dentist | 3303 E Queen Creek Rd Ste 106, Gilbert, AZ 85297-8532 | 2019-10-03 |
1386207785 | Cattron's Dmd, Pllc | Dentist | 4024 E Guadalupe Rd Ste 105, Gilbert, AZ 85234-7672 | 2019-04-21 |
1578126470 | Scottsdale Pediatric Dental Associates Inc | Dentist | 9280 E Raintree, Suite 108, Scottsdale, AZ 85260 | 2019-04-16 |
1194200980 | Highbury Dental Management, LLC | Dentist | 4425 S Mountain Rd, Suite 109, Mesa, AZ 85212 | 2018-09-27 |
1568957199 | Maureen Malingkas | Dentist | 8248 W Deer Valley Rd, Peoria, AZ 85382-2198 | 2018-06-26 |
1407344567 | Kids Dental Group Pllc | Dentist | 6239 E Brown Rd Ste 102, Mesa, AZ 85205-4933 | 2018-04-24 |
1861989121 | Logan Mariano | Dentist | 4383 E Rosemonte Dr, Phoenix, AZ 85050-3407 | 2018-04-21 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.