ORAL AND MAXILLOFACIAL SURGEONS OF NORTHERN ARIZONA
NPI 1487651071
Dentist - Oral and Maxillofacial Pathology in Flagstaff, AZ

Q: What is Oral And Maxillofacial Surgeons Of Northern Arizona's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Pathology, with taxonomy code 1223P0106X.

Active since June 28, 2005

77 W FOREST AVE, STE 107, FLAGSTAFF, AZ 86001(928) 773-2530(928) 773-2532 Get Directions Write a Review

NPPES record last updated: October 16, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Oral And Maxillofacial Surgeons Of Northern Arizona NPPES

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

ORAL AND MAXILLOFACIAL SURGEONS OF NORTHERN ARIZONA (NPI 1487651071) is a healthcare organization registered as an oral and maxillofacial pathology in Flagstaff, Arizona and active in the NPI registry since June 2005. The organization lists Lorin Dean Peterson, President, as its authorized official.

NPPES Registry Identity

NPI1487651071

Entity TypeOrganization

Primary Taxonomy1223P0106X

Legal Business NameORAL AND MAXILLOFACIAL SURGEONS OF NORTHERN ARIZONA

Location Address77 W FOREST AVE, STE 107Flagstaff, AZ 86001-1482

Mailing Address77 W Forest Ave, Ste 107Flagstaff, AZ 86001-1482 · (928) 773-2530 · Fax (928) 773-2532

Phone(928) 773-2530

Fax(928) 773-2532

Organization SubpartNo

Authorized OfficialLorin Dean PetersonPresident · (928) 773-2530

Enumeration DateJune 28, 2005

Last NPPES UpdateOctober 16, 2007

✔ NPI 1487651071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial PathologyDental Providers

Taxonomy Code1223P0106X

License✔ Licensed in AZ · 2803

Definition

The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.

77 W FOREST AVE, Flagstaff, AZ 86001

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Other Identifiers 1

Medicare PINZWMBSRAZ

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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

DANIEL E WESCHE MD

Surgery

77 W FOREST AVE, SUITE 201
FLAGSTAFF, AZ 86001

Coconino County (928) 773-2222

MS. SHERRY ANN MACE FNP

Nurse Practitioner (Family)

77 W FOREST AVE, SUITE 301
FLAGSTAFF, AZ 86001

Coconino County (928) 773-2538

NEINA ORRILLO CRNA

Nurse Anesthetist, Certified Registered

77 W FOREST AVE, SUITE 207
FLAGSTAFF, AZ 86001

Coconino County (928) 773-2505

BARBARA L. BOSCH M.D.

Pediatrics

77 W FOREST AVE, SUITE 304
FLAGSTAFF, AZ 86001

Coconino County (928) 214-3600

DR. DOUGLAS DEAN LEE MD

Anesthesiology

77 W FOREST AVE, SUITE 207
FLAGSTAFF, AZ 86001

Coconino County (928) 773-2505

NORTHERN ARIZONA CARDIOVASCULAR SPECIALISTS PC

Internal Medicine (Cardiovascular Disease)

77 W FOREST AVE, SUITE 302
FLAGSTAFF, AZ 86001

Coconino County (928) 214-0470

DR. GARY STEVEN CHRISTENSEN MD

Anesthesiology

77 W FOREST AVE, SUITE 207
FLAGSTAFF, AZ 86001

Coconino County (928) 773-2505

LEE B MCGAREY MD

Pediatrics

77 W FOREST AVE, SUITE 304
FLAGSTAFF, AZ 86001

Coconino County (928) 214-3600

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 Oral And Maxillofacial Surgeons Of Northern Arizona's NPI number?

The NPI number for Oral And Maxillofacial Surgeons Of Northern Arizona is 1487651071. It was assigned to this organization in the NPPES registry on June 28, 2005.

Where is Oral And Maxillofacial Surgeons Of Northern Arizona located?

Oral And Maxillofacial Surgeons Of Northern Arizona is located at 77 W Forest Ave Ste 107, Flagstaff, AZ 86001. The listed phone number is (928) 773-2530.

What is Oral And Maxillofacial Surgeons Of Northern Arizona's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Pathology, with taxonomy code 1223P0106X.

When was this NPI record last updated?

The NPPES record for Oral And Maxillofacial Surgeons Of Northern Arizona was last updated on October 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.