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Oral And Maxillofacial Surgeons Of Northern Arizona

The public CMS NPPES listing for Oral And Maxillofacial Surgeons Of Northern Arizona places this Oral And Maxillofacial Pathology Dentistry record in Flagstaff, AZ. The practice address is shown as 77 W Forest Ave, Flagstaff, AZ. NPPES also reports a phone number. Verify details before visiting or calling.

NPI1487651071
Entity typeOrganization
Reported phone(928) 773-2530
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
1487651071
Entity type
Organization
NPPES status
Reported active
License status
Not primary-source verified

Practice location

Practice address and phone as reported in CMS NPPES.

Address
77 W Forest Ave, Ste 107
Flagstaff, AZ 86001-1482
Phone
(928) 773-2530

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Taxonomy and source

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Taxonomy code
1223P0106X
Specialty
Oral and Maxillofacial Pathology Dentistry
Source
CMS NPPES
Last updated
July 12, 2026

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