Active NPI
Sedona Dentistry
- General Practice Dentistry
- Sedona, AZ
National Provider Identifier
1194240929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D009737
- Legal business name
- SEDONA DENTISTRY
- Practice address
- 1785 W Highway 89a Ste 3G
Sedona, AZ 86336-5577 - Phone
- (928) 282-9414
- NPI assigned
- Aug 14, 2017
- Last updated
- Jul 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Phillip Plourde, DMD
- Title
- Dentist / Business Partner
- Phone
- (602) 615-3269
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D009737 | AZ | Primary |
Addresses
Primary practice location
1785 W Highway 89a Ste 3G
Sedona, AZ 86336-5577
Mailing address
1785 W Highway 89a Ste 3G
Sedona, AZ 86336-5577
Phone (928) 282-9414
National Provider Directory
National Provider DirectoryLocations
1785 W State Route 89A
Ste 3G
Sedona, AZ 86336
Phone (928) 282-2077
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Sedona, AZ
- NPI 1578666400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1194240929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1785 W HIGHWAY 89A STE 3G",
"city": "SEDONA",
"state": "AZ",
"postal_code": "863365577",
"telephone_number": "928-282-9414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1785 W HIGHWAY 89A STE 3G",
"city": "SEDONA",
"state": "AZ",
"postal_code": "863365577",
"telephone_number": "928-282-9414"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEDONA DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-14",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "PLOURDE",
"authorized_official_first_name": "PHILLIP",
"authorized_official_title_or_position": "DENTIST / BUSINESS PARTNER",
"authorized_official_telephone_number": "602-615-3269",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "D009737",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sedona, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.