Flagstaff Pediatric Dentistry, P.C.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

3830 Issued in AZ

Legal business name

FLAGSTAFF PEDIATRIC DENTISTRY, P.C.

Practice address

906 W University Ave
Suite 110
Flagstaff, AZ 86001-2986

Phone

(928) 774-1219

NPI assigned

Mar 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Alan B. Dowell, D.D.S.NPI 1982781910

Title

President

Phone

(928) 774-1219

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Alan Byrd Dowell, D.D.S.

  • Pediatric Dentistry
  • Flagstaff, AZ
  • NPI 1982781910
  NPD (past) Authorized official

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710011374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 W UNIVERSITY AVE",
            "address_2": "SUITE 110",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860012986",
            "telephone_number": "928-774-1219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 W UNIVERSITY AVE",
            "address_2": "SUITE 110",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860012986",
            "telephone_number": "928-774-1219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLAGSTAFF PEDIATRIC DENTISTRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOWELL",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-774-1219",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AZ",
            "license": "3830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Flagstaff Neurosurgery PLLC
• Flagstaff OBGYN LLC
• Flagstaff Pain & Treatment Center (Virtuous Pain Centers)
• Flagstaff Pain and Treatment Center
• Flagstaff Pathology Associates (Pathology Associates of Northern AZ)
• Flagstaff Physical Therapy PC
• Flagstaff Primary Care, PC (DBA: Flagstaff Pediatric Care)
• Flagstaff Psychology and Counseling LLC
• Flagstaff Pulmonology PLLC
• Flagstaff Smiles LLC

• Pediatric Dentistry in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Pediatric Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.