JANISSE DENTAL INC
NPI 1073183893
Clinic/Center - Dental in Flagstaff, AZ

Active since June 25, 2021
2615 N 4TH ST STE 6, FLAGSTAFF, AZ 86004(928) 774-4761 Get Directions Write a Review

NPPES record last updated: June 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Janisse Dental Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JANISSE DENTAL INC (NPI 1073183893) is a healthcare organization registered as a dental in Flagstaff, Arizona and active in the NPI registry since June 2021. The organization lists Robert Janisse, Owner, as its authorized official.

NPPES Registry Identity

NPI1073183893
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameJANISSE DENTAL INC
Location Address2615 N 4TH ST STE 6Flagstaff, AZ 86004-1812
Mailing Address2615 N 4th St Ste 6Flagstaff, AZ 86004-1812 · (928) 774-4761
Organization SubpartNo
Authorized OfficialRobert JanisseOwner · (925) 774-4761
Enumeration DateJune 25, 2021
NPPES CertifiedJune 25, 2021
NPI 1073183893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
2615 N 4TH ST STE 6, Flagstaff, AZ 86004

Other Names 1

Former Legal Business NameJanisse Dental Inc

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
2615 N 4TH ST STE 6
FLAGSTAFF, AZ 86004
Nurse Practitioner (Family)
2615 N 4TH ST STE 6
FLAGSTAFF, AZ 86004

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Janisse Dental Inc's NPI number?

The NPI number for Janisse Dental Inc is 1073183893. It was assigned to this organization in the NPPES registry on June 25, 2021.

Where is Janisse Dental Inc located?

Janisse Dental Inc is located at 2615 N 4th St Ste 6, Flagstaff, AZ 86004. The listed phone number is (928) 774-4761.

What is Janisse Dental Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Janisse Dental Inc was last updated on June 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.