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

Flagstaff Pediatric Dentistry, PC

Organization Pediatric Dentistry · NPI 1710011374

Flagstaff Pediatric Dentistry, PC is a Pediatric Dentistry in Flagstaff, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

906 W University Ave Ste 110
Flagstaff, AZ 86001-2986
Phone: (928) 774-1219
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 3830 (AZ)

Record details

NPI number1710011374
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alan Dowell — President · (928) 774-1219
NPI enumeratedMarch 15, 2007
Last updated in NPPESAugust 22, 2020
Mailing address906 W University Ave, Suite 110, Flagstaff, AZ 86001-2986

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