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Provider record

Dexter P Inniss D.M.D

The public CMS NPPES listing for Dexter P Inniss D.M.D places this General Practice Dentistry record in Fort Defiance, AZ. The practice address is shown as Corner Of Rt N12 And N7, Fort Defiance, AZ. NPPES also reports a phone number. Verify details before visiting or calling.

NPI1629146469
Entity typeIndividual
Reported phone(770) 760-7566
SourceCMS NPPES

National Plan and Provider Enumeration System

Source checkedJuly 15, 2026

CMS NPPES

NPPES statusActive

Reported to NPPES

Directory statusIndependent

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NPI and status

Source-labeled identifiers and reported record state.

Active
NPI
1629146469
Entity type
Individual
NPPES status
Reported active
License status
Not primary-source verified

Practice location

Practice address and phone as reported in CMS NPPES.

Address
Corner Of Rt N12 And N7
Fort Defiance, AZ 86504-0649
Phone
(770) 760-7566
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Taxonomy and source

Specialty taxonomy is source-reported and not a quality or license determination.

Taxonomy code
1223G0001X
Specialty
General Practice Dentistry
Source
CMS NPPES
Last updated
July 12, 2026

Record actions

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