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

Amanda Kristen Marshall, DMD

Individual provider Dentist · NPI 1861380511

Amanda Kristen Marshall, DMD is a Dentist in Flagstaff, Arizona. Graduated from At Still University, Arizona School of Dentistry & Oral Hlth in 2025, 1 year ago. Licensed in Arizona and Tennessee.

Years since qualifying
1
Trained at
At Still University, Arizona School of Dentistry & Oral Hlth
Licensed in
AZ, TN
In the registry since
2025
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

2920 N 4th St
Flagstaff, AZ 86004-1816
Phone: (928) 522-9400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 12985 (TN)
Dentist Taxonomy 122300000X · Licence D012536 (AZ)

Record details

NPI number1861380511
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 24, 2025
Last updated in NPPESMay 21, 2026
Certification dateMay 21, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDENTIST
Medical schoolAT STILL UNIVERSITY, ARIZONA SCHOOL OF DENTISTRY & ORAL HLTH
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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