JASON DITTBERNER


Address: 750 N Kendrick St Ste 200, Flagstaff, AZ 86001-1599
Phone: 9287737900

JASON DITTBERNER (NPI# 1346310034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346310034
Entity Type Individual
Full Name JASON DITTBERNER
Credential DDS
Practice Address 750 N Kendrick St Ste 200
Flagstaff
AZ 86001-1599
Practice Telephone 9287737900
Mailing Telephone 9287737900
Enumeration Date 2006-11-09
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
5045 AZ Dental Providers

Office Location

Street Address 750 N KENDRICK ST STE 200
City FLAGSTAFF
State AZ
Zip Code 86001-1599

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1427658756 Marlenne Adair Escobar-mendoza Specialist/Technologist 1705 South San Francisco Street, Flagstaff, AZ 86001 2020-10-27
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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
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497104293 Matthew Golden Hill Dentist 304 S Regent St Ste 101, Flagstaff, AZ 86001-5961 2016-06-13
1194031336 Debonair Ink Dentist 1415 N Beaver St, Flagstaff, AZ 86001-1401 2010-08-25
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
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

Competitor

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City FLAGSTAFF
Zip Code 86001

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Dataset Information

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.

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