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

Flagstaff Dental Group, PLLC

Organization Dentist · NPI 1104049089

Flagstaff Dental Group, PLLC is a Dentist in Flagstaff, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007
Specialties on file
3
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

10 W Hunt Ave
Flagstaff, AZ 86001-3018
Phone: (928) 774-1481
Fax: (928) 214-9388
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2792 (AZ)
Dentist Taxonomy 122300000X · Licence 5855 (AZ)
Dentist Taxonomy 122300000X · Licence 5906 (AZ)

Record details

NPI number1104049089
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leslie Seaman — Partner · (928) 774-1481
NPI enumeratedApril 10, 2007
Last updated in NPPESAugust 22, 2020
Mailing address10 W Hunt Ave, Flagstaff, AZ 86001-3018

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