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

Mallory Jo Nyenhuis, DDS

Individual provider Dentist · NPI 1437503364

Mallory Jo Nyenhuis, DDS is a Dentist in Flagstaff, Arizona. Works from 2 locations. Licensed in Arizona.

Licensed in
AZ
In the registry since
2016
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

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Practice location Address checks out

223 N San Francisco St Ste 104
Flagstaff, AZ 86001-4657
Phone: (928) 275-1252
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 300 S 6th St, Williams, AZ 86046-0110 — (928) 635-4441

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D011313 (AZ)

Record details

NPI number1437503364
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedApril 18, 2016
Last updated in NPPESFebruary 13, 2025
Certification dateFebruary 13, 2025

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