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

Northern Arizona Oral Surgery PC

Organization Oral and Maxillofacial Surgery Clinic/Center · NPI 1164156725

Northern Arizona Oral Surgery PC is an Oral and Maxillofacial Surgery Clinic/Center in Flagstaff, Arizona. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1521 N Beaver St
Flagstaff, AZ 86001-1484
Phone: (928) 773-2530
Fax: (928) 773-2532
Show map & directions

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

Specialties & licences

Oral and Maxillofacial Surgery Clinic/Center (primary) Taxonomy 261QS0112X

Record details

NPI number1164156725
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Whitney Pavick — Sr. Operations Manager · (801) 857-7947
NPI enumeratedJuly 11, 2022
Last updated in NPPESJuly 11, 2022
Certification dateJuly 11, 2022
Mailing address1521 N Beaver St, Flagstaff, AZ 86001-1484