Havasu Dental Group 1 PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

HAVASU DENTAL GROUP 1 PLLC

Practice address

2002 N Stockton Hill Rd Ste 104
Kingman, AZ 86401-4698

Phone

(520) 499-9151

NPI assigned

Sep 9, 2026

Organization subpart

Yes

Parent organization

H DENTAL GROUP LLCAs reported in NPPES

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

Authorized official

Name

George Salim Hariri, DMD

Title

Manager

Phone

(520) 499-9151

Specialties & licenses 1

Addresses

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• H Dental Group LLC

  • General Practice Dentistry
  • Phoenix, AZ
  • NPI 1104735034
  NPPES parent name

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

{
    "created_epoch": "1788912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1508776907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10810 N TATUM BLVD STE 102-2005",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286055",
            "telephone_number": "520-499-9151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 N STOCKTON HILL RD STE 104",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864014698",
            "telephone_number": "520-499-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVASU DENTAL GROUP 1 PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "H DENTAL GROUP LLC",
        "enumeration_date": "2026-09-09",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "HARIRI",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "SALIM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "520-499-9151",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Blankenship Hartland, RN
• Mark J Harvancik, EDD
• Phillip Andrew Hasenbalg, DO
• Michaela Mary Hasenkrug, DO
• Treeva Hausen
• John Brit Haws, PT, DPT
• Patricia D Haydon, D.C.
• Joseph Haydu, M.D.
• Susan M Haynes
• Healthcare Management Professional, Inc.

• General Practice Dentistry in Kingman, AZ
• Providers in Kingman, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.