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PAGE DENTAL CENTER
NPI 1164689139
Dentist - General Practice in Page, AZ

Active since May 19, 2008
112 SIXTH AVENUE, PAGE, AZ 86040(928) 645-3206(928) 645-9139 Get Directions Write a Review

NPPES record last updated: December 17, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Page Dental Center NPPES

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

PAGE DENTAL CENTER (NPI 1164689139) is a healthcare organization registered as a general practice in Page, Arizona and active in the NPI registry since May 2008. The organization lists Jeffrey S Gifford, President, as its authorized official.

NPPES Registry Identity

NPI1164689139
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePAGE DENTAL CENTER
Location Address112 SIXTH AVENUEPage, AZ 86040-1956
Mailing AddressPo Box 1956, 112 Sixth AvenuePage, AZ 86040-1956 · (928) 645-3206 · Fax (928) 645-9139
Phone(928) 645-3206
Fax(928) 645-9139
Organization SubpartNo
Authorized OfficialJeffrey S GiffordPresident · (928) 645-3206
Enumeration DateMay 19, 2008
Last NPPES UpdateDecember 17, 2008
✔ NPI 1164689139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in AZ · 7427✔ Licensed in AZ · 3440✔ Licensed in AZ · 5411
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
112 SIXTH AVENUE, Page, AZ 86040
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Other Identifiers 3

Medicaid283845AZ
Medicaid084004AZ
Medicaid086274AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

MATTHEW DIXON KELLY
Dentist
112 SIXTH AVENUE
PAGE, AZ 86040
Coconino County (928) 645-3206

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 Page Dental Center's NPI number?

The NPI number for Page Dental Center is 1164689139. It was assigned to this organization in the NPPES registry on May 19, 2008.

Where is Page Dental Center located?

Page Dental Center is located at 112 Sixth Avenue, Page, AZ 86040. The listed phone number is (928) 645-3206.

What is Page Dental Center's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Page Dental Center was last updated on December 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.