DEBONAIR INK (NPI# 1194031336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194031336 |
| Entity Type | Organization |
| Organization Name | DEBONAIR INK |
| Other Organization Name | AESTHETIC DENTISTRY |
| Practice Address |
1415 N Beaver St Flagstaff AZ 86001-1401 |
| Practice Telephone | 9287741170 |
| Practice Fax Number | 9287741171 |
| Mailing Telephone | 9287741170 |
| Mailing Fax Number | 9287741171 |
| Enumeration Date | 2010-08-25 |
| Last Update Date | 2010-09-08 |
| Authorized Official Name | DEBORA KAY MOSHOS (PRESIDENT) |
| Authorized Official Telephone | 9287741170 |
| Authorized Official Credential | RDH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Aesthetic Dentistry | Other Name - Individual/Organization |
| Street Address |
1415 N BEAVER ST |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86001-1401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658756 | Marlenne Adair Escobar-mendoza | Specialist/Technologist | 1705 South San Francisco Street, Flagstaff, AZ 86001 | 2020-10-27 |
| 1962033712 | Laura-lee Prescott | Social Worker | Northern Az Va Healthcare System, Flagstaff Cboc, 1300 W. University Ave., Suite 300, Flagstaff, AZ 86001 | 2020-01-30 |
| 1194360784 | Trinity Medical Consultants Pllc | Internal Medicine | 1521 N Cliff Drive, Flagstaff, AZ 86001 | 2019-11-07 |
| 1154849610 | Altacare, LLC | Family Medicine | 2700 S Woodlands Village Blvd Ste 700, Flagstaff, AZ 86001 | 2017-09-05 |
| 1487174926 | Lindsey Marie Forstie | Nurse Practitioner | 7263 E Dreamview Trail, Flagstaff, AZ 86001 | 2017-06-26 |
| 1255860763 | Welbrook Senior Living Flagstaff LLC | Skilled Nursing Facility | 1521 N Pine Cliff Dr, Flagstaff, AZ 86001 | 2017-06-08 |
| 1912432675 | Ryan Tiscareno | Specialist/Technologist | 621 West Cherry Ave, Flagstaff, AZ 86001 | 2017-05-01 |
| 1629432380 | Behavioral Consultation Services, Inc. | Clinic/Center | 345 S. River Run Road, Suite 200, Flagstaff, AZ 86001 | 2016-04-08 |
| 1275920928 | Junli Gallagher | Speech-Language Pathologist | 1215 N. Beaver St, Flagstaff, AZ 86001 | 2015-04-21 |
| 1932592599 | Kristen Flugstad Psyd, LLC | Psychologist | 125 East Elm Avenue #203, Flagstaff, AZ 86001 | 2015-03-06 |
| Find all providers in zip 86001 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497104293 | Matthew Golden Hill | Dentist | 304 S Regent St Ste 101, Flagstaff, AZ 86001-5961 | 2016-06-13 |
| 1447480843 | Leslie Scott Seaman | Dentist | 901 N Beaver St, Flagstaff, AZ 86001-3107 | 2009-07-20 |
| 1639353337 | C Sid Davis Dds PC | Dentist | 2700 N Izabel St, Flagstaff, AZ 86004-3420 | 2007-12-18 |
| 1346450236 | James P Marzolf | Dentist | 1417 N Beaver St, Flagstaff, AZ 86001-1401 | 2007-05-22 |
| 1962578666 | Gary Dennis Milton | Dentist | 710 N Beaver St Bldg 2 1, Flagstaff, AZ 86001-3144 | 2006-11-27 |
| 1265505226 | Bryan J Shanahan | Dentist | 750 N Kendrick St Ste 100, Flagstaff, AZ 86001-3067 | 2006-11-16 |
| 1205907623 | John Thomas Montfort | Dentist | 1425 N Beaver St, Flagstaff, AZ 86001-1401 | 2006-11-10 |
| 1346310034 | Jason Dittberner | Dentist | 750 N Kendrick St Ste 200, Flagstaff, AZ 86001-1599 | 2006-11-09 |
| 1528167681 | Paul David Whitney | Dentist | 5200 E Cortland Blvd, Suite C-4, Flagstaff, AZ 86004 | 2006-09-22 |
| 1861509523 | Zakar L` Elloway | Dentist | 1419 N Beaver St, Flagstaff, AZ 86001-1401 | 2006-08-25 |
| Find all providers in FLAGSTAFF | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.