FLAGSTAFF DENTISTRY 4 KIDS, PLLC (NPI# 1427411255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427411255 |
| Entity Type | Organization |
| Organization Name | FLAGSTAFF DENTISTRY 4 KIDS, PLLC |
| Practice Address |
710 N Beaver St Bldg 2 Flagstaff AZ 86001-3100 |
| Practice Telephone | 9287738571 |
| Practice Fax Number | 9282554814 |
| Mailing Telephone | 9287738571 |
| Mailing Fax Number | 9282554814 |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2016-03-30 |
| Authorized Official Name | BRADLEY ROBERTS (DENTIST/OWENER) |
| Authorized Official Telephone | 4806079999 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D04964 | AZ | Dental Providers |
| Street Address |
710 N BEAVER ST BLDG 2 |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86001-3100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558336818 | Arizona Behavioral Health Associates, P.C. | Clinical Neuropsychologist | 710 N Beaver St, Bldg 4, Flagstaff, AZ 86001-3139 | 2006-02-21 |
| 1760006621 | Brigham Sorenson | Dentist | 710 N Beaver St, Flagstaff, AZ 86001-3100 | 2020-06-05 |
| 1831554955 | Sara L Cook | Family Medicine | 710 N Beaver St, Building 6, Flagstaff, AZ 86001-3100 | 2015-12-16 |
| 1538499678 | Alethea Braun-dunagan | Counselor | 710 N Beaver St, Bldg 4, Flagstaff, AZ 86001-3139 | 2010-01-13 |
| 1790976470 | Flagstaff Family Physicians PC | Family Medicine | 710 N Beaver St, Ste 3, Flagstaff, AZ 86001-3100 | 2007-08-07 |
| 1265643704 | Robert T Caskey | Dentist | 710 N Beaver St, Flagstaff, AZ 86001-3100 | 2007-05-25 |
| 1699802637 | Kelly D Sahl | Nurse Practitioner | 710 N Beaver St, Bldg 6, Flagstaff, AZ 86001-3100 | 2007-02-27 |
| 1942342126 | Irene Manalisay Wise | Nurse Practitioner | 710 N Beaver St, Building 6, Flagstaff, AZ 86001-3100 | 2007-02-13 |
| 1073689774 | Gary D Milton Dds | Dentist | 710 N Beaver St, Bldg 2 1, Flagstaff, AZ 86001-3144 | 2006-11-27 |
| 1134293632 | Bradley Joseph Henkenius | Dentist | 710 N Beaver St, Bldg 1, Flagstaff, AZ 86001-3100 | 2006-11-17 |
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| 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 |
| 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 |
| 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 |
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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.