NORTHERN ARIZONA ORAL SURGERY PC
NPI 1164156725
Clinic/Center - Oral and Maxillofacial Surgery in Flagstaff, AZ

Q: What is Northern Arizona Oral Surgery PC's NPI number?

The NPI number for Northern Arizona Oral Surgery PC is 1164156725. It was assigned to this organization in the NPPES registry on July 11, 2022.

Q: What is Northern Arizona Oral Surgery PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oral and Maxillofacial Surgery, with taxonomy code 261QS0112X.

Active since July 11, 2022

1521 N BEAVER ST, FLAGSTAFF, AZ 86001(928) 773-2530(928) 773-2532 Get Directions Write a Review

NPPES record last updated: July 11, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Northern Arizona Oral Surgery Pc NPPES

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

NORTHERN ARIZONA ORAL SURGERY PC (NPI 1164156725) is a healthcare organization registered as an oral and maxillofacial surgery in Flagstaff, Arizona and active in the NPI registry since July 2022. The organization lists Whitney Pavick, Sr. Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1164156725

Entity TypeOrganization

Primary Taxonomy261QS0112X

Legal Business NameNORTHERN ARIZONA ORAL SURGERY PC

Location Address1521 N BEAVER STFlagstaff, AZ 86001-1484

Mailing Address1521 N Beaver StFlagstaff, AZ 86001-1484 · (928) 773-2530 · Fax (928) 773-2532

Phone(928) 773-2530

Fax(928) 773-2532

Organization SubpartNo

Authorized OfficialWhitney PavickSr. Operations Manager · (801) 857-7947

Enumeration DateJuly 11, 2022

NPPES CertifiedJuly 11, 2022

✔ NPI 1164156725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Oral and Maxillofacial SurgeryAmbulatory Health Care Facilities

Taxonomy Code261QS0112X

Definition

An oral and maxillofacial surgery clinic or center specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

1521 N BEAVER ST, Flagstaff, AZ 86001

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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.

DR. EUGENE RICHARD MOAN ED.D.

Psychologist

1521 N BEAVER ST
FLAGSTAFF, AZ 86001

Coconino County (928) 523-9604

MS. DEBORAH LYNN BENNETT M.S.W.

Social Worker (Clinical)

1521 N BEAVER ST
FLAGSTAFF, AZ 86001

Coconino County (928) 774-6414

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 Northern Arizona Oral Surgery PC's NPI number?

The NPI number for Northern Arizona Oral Surgery PC is 1164156725. It was assigned to this organization in the NPPES registry on July 11, 2022.

Where is Northern Arizona Oral Surgery PC located?

Northern Arizona Oral Surgery PC is located at 1521 N Beaver St, Flagstaff, AZ 86001. The listed phone number is (928) 773-2530.

What is Northern Arizona Oral Surgery PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oral and Maxillofacial Surgery, with taxonomy code 261QS0112X.

When was this NPI record last updated?

The NPPES record for Northern Arizona Oral Surgery PC was last updated on July 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.