Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Havasu Dental Group 1 PLLC

Organization General Practice Dentistry · NPI 1508776907

Havasu Dental Group 1 PLLC provides General Practice Dentistry in Kingman, Arizona. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2002 N Stockton Hill Rd Ste 104
Kingman, AZ 86401-4698
Phone: (520) 499-9151
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1508776907
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationH Dental Group LLC
Authorized official George Hariri — Manager · (520) 499-9151
NPI enumeratedSeptember 9, 2026
Last updated in NPPESSeptember 9, 2026
Certification dateSeptember 9, 2026
Mailing address10810 N Tatum Blvd Ste 102-2005, Phoenix, AZ 85028-6055

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