Dentists of Flagstaff, LLP

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DENTISTS OF FLAGSTAFF, LLP

Doing business as

Dentists of Flagstaff

Practice address

4620 N US Highway 89 Ste 1
Flagstaff, AZ 86004-2424

Phone

(469) 788-7412

Fax

(928) 277-4840

NPI assigned

Nov 3, 2021

Organization subpart

No

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

Authorized official

Name

Andrew T Wakefield, DMD

Title

Owner

Phone

(469) 788-7412

Specialties & licenses 1

Addresses

Other names 1

• Dentists of Flagstaff Doing business as

Locations

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1922763184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 N US HIGHWAY 89 STE 1",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860042424",
            "telephone_number": "469-788-7412",
            "fax_number": "928-277-4840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTS OF FLAGSTAFF, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-03",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "WAKEFIELD",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-788-7412",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentists of Flagstaff",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dentists of Flagstaff",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.