Oral and Maxillofacial Surgeons of Northern Arizona

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

License

2803 Issued in AZ

Legal business name

ORAL AND MAXILLOFACIAL SURGEONS OF NORTHERN ARIZONA

Practice address

77 W Forest Ave
Ste 107
Flagstaff, AZ 86001-1482

Phone

(928) 773-2530

Fax

(928) 773-2532

NPI assigned

Jun 28, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lorin Dean Peterson, DMD

Title

President

Phone

(928) 773-2530

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Todd Alan Dingman, DDS,MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Flagstaff, AZ
  • NPI 1134126725
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1487651071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 W FOREST AVE",
            "address_2": "STE 107",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011482",
            "telephone_number": "928-773-2530",
            "fax_number": "928-773-2532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 W FOREST AVE",
            "address_2": "STE 107",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011482",
            "telephone_number": "928-773-2530",
            "fax_number": "928-773-2532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL AND MAXILLOFACIAL SURGEONS OF NORTHERN ARIZONA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "LORIN",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-773-2530",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "AZ",
            "license": "2803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susanne One Love, RN
• Ophthalmic Anesthesia Services
• Sara Grace Oppliger, CCC-SLP
• Optum Behavioral Care of Colorado, P.C. (Elevate Mental Health)
• Optum Behavioral Care of Colorado, P.C. (Phoenix Mental Health and Wellness of Arizona)
• Christopher Kevin Oros, D.O.
• Neina Orrillo, CRNA
• Catherine Mariah Orth
• Orthodontics of Flagstaff PC (Orthodontics, Inc.)
• Emily Claire Ortiz, MS, RDN

• Oral and Maxillofacial Pathology Dentistry in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Oral and Maxillofacial Pathology Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.