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Provider record

Mallory Jo Nyenhuis D.D.S.

Mallory Jo Nyenhuis D.D.S. is listed in CMS NPPES as an individual provider record with a Dentist taxonomy. The record shows a practice location at 223 N San Francisco St Ste 104, Flagstaff, AZ. NPPES also reports a phone number. Confirm current office details directly with the provider.

NPI1437503364
Entity typeIndividual
Reported phone(928) 275-1252
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
1437503364
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
223 N San Francisco St Ste 104
Flagstaff, AZ 86001-4657
Phone
(928) 275-1252

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Nearby dentists

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Taxonomy and source

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Taxonomy code
122300000X
Specialty
Dentist
Source
CMS NPPES
Last updated
July 12, 2026

Record actions

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