Aces Dental of Flagstaff

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D009389 Issued in AZ

Legal business name

ACES DENTAL OF FLAGSTAFF

Practice address

1515 E Cedar Ave
Unit C1
Flagstaff, AZ 86004-1600

Phone

(928) 440-5137

Fax

(702) 243-2893

NPI assigned

Feb 24, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Vilas Sastry, DMD

Title

Owner

Phone

(928) 440-5137

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1456272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473984000000",
    "number": "1609236264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6127 S RAINBOW BLVD",
            "address_2": "SUITE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891183255",
            "telephone_number": "702-998-2237",
            "fax_number": "702-243-2893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 E CEDAR AVE",
            "address_2": "UNIT C1",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860041600",
            "telephone_number": "928-440-5137",
            "fax_number": "702-243-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACES DENTAL OF FLAGSTAFF",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-24",
        "last_updated": "2016-09-16",
        "status": "A",
        "authorized_official_last_name": "SASTRY",
        "authorized_official_first_name": "VILAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-440-5137",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AZ",
            "license": "D009389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nazgul Abduvalieva, PT, DPT
• Michael Abeshaus, MD
• Amber Larae Abila, LCSW
• Jefrey A Abramowitz, DDS
• Abundant Hope Integrated Solutions, LLC
• Christina Ann Acheson-Hayes, L.C.S.W.
• Lorraine Bernice Acheson
• Melissa A Acquaviva, CRNA
• Sandra Lee Adams, NP
• Tina Jane Adams, LCSW, MSW, BHP

• Dental Clinic/Center in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; 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.