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

Lake Powell Dental Center, PC

Organization Dentist · NPI 1407392590

Lake Powell Dental Center, PC is a Dentist in Page, Arizona. Licensed in Arizona. Registered with an NPI since 2017.

Licensed in
AZ
In the registry since
2017
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

436 Vista Avenue Box 1956
Page, AZ 86040
Phone: (928) 645-2505
Fax: (928) 645-6820
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2639 (AZ)

Record details

NPI number1407392590
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Gifford — Owner · (928) 645-2505
NPI enumeratedJanuary 12, 2017
Last updated in NPPESJanuary 12, 2017
Mailing address436 Vista, Page, AZ 86040-1956

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