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

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: July 19, 2026.

  • Organization
  • Dentist
  • Oral and Maxillofacial Pathology

About ORAL AND MAXILLOFACIAL SURGEONS OF NORTHERN ARIZONA

This page provides the complete NPI Profile along with additional information for Oral And Maxillofacial Surgeons Of Northern Arizona, a provider established in Flagstaff, Arizona operating as a Dentist, focusing in oral and maxillofacial pathology . The healthcare provider is registered in the NPI registry with number 1487651071 assigned on June 2005. The practitioner's primary taxonomy code is 1223P0106X with license number 2803 (AZ). The provider is registered as an organization and their NPI record was last updated 19 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Lorin Dean Peterson Dmd (President)

NPI
1487651071 Verify this NPI
Provider Name
ORAL AND MAXILLOFACIAL SURGEONS OF NORTHERN ARIZONA
Entity Type
Organization
Location Address
77 W FOREST AVE STE 107 FLAGSTAFF, AZ 86001
Location Phone
(928) 773-2530
Location Fax
(928) 773-2532
Mailing Address
77 W FOREST AVE STE 107 FLAGSTAFF, AZ 86001
Mailing Phone
(928) 773-2530
Mailing Fax
(928) 773-2532
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-28-2005
Last Update Date
10-16-2007
Code Navigator

A dentist like Oral And Maxillofacial Surgeons Of Northern Arizona is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Oral and Maxillofacial Pathology

Taxonomy Code
1223P0106X
Type
Dental Providers
License No.
2803
License State
AZ
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LORIN DEAN PETERSON DMD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(928) 773-2530

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
ZWMBSRMEDICARE PIN (08)AZ 

Reviews for ORAL AND MAXILLOFACIAL SURGEONS OF NORTHERN ARIZONA

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Practitioner (Adult Health)
77 W FOREST AVE, STE 302
FLAGSTAFF, AZ 86001
Dentist (Oral and Maxillofacial Surgery)
77 W FOREST AVE, STE 107
FLAGSTAFF, AZ 86001
Dentist (Oral and Maxillofacial Pathology)
77 W FOREST AVE, STE 107
FLAGSTAFF, AZ 86001
Pediatrics
77 W FOREST AVE, SUITE 304
FLAGSTAFF, AZ 86001
Pediatrics
77 W FOREST AVE, SUITE 304
FLAGSTAFF, AZ 86001
Pediatrics
77 W FOREST AVE, SUITE 304
FLAGSTAFF, AZ 86001
Pediatrics
77 W FOREST AVE, SUITE 304
FLAGSTAFF, AZ 86001
Pediatrics
77 W FOREST AVE, SUITE 304
FLAGSTAFF, AZ 86001
Pediatrics
77 W FOREST AVE, SUITE 304
FLAGSTAFF, AZ 86001
Pediatrics
77 W FOREST AVE, SUITE 304
FLAGSTAFF, AZ 86001
Orthopaedic Surgery
77 W FOREST AVE, SUITE 301
FLAGSTAFF, AZ 86001
Surgery
77 W FOREST AVE, SUITE 201
FLAGSTAFF, AZ 86001
Surgery
77 W FOREST AVE, SUITE 201
FLAGSTAFF, AZ 86001
Pediatrics
77 W FOREST AVE, STE 304
FLAGSTAFF, AZ 86001
Internal Medicine (Gastroenterology)
77 W FOREST AVE, STE 210
FLAGSTAFF, AZ 86001
Internal Medicine (Gastroenterology)
77 W FOREST AVE, STE 210
FLAGSTAFF, AZ 86001
Internal Medicine (Cardiovascular Disease)
77 W FOREST AVE, SUITE 302
FLAGSTAFF, AZ 86001
Radiology (Diagnostic Radiology)
77 W FOREST AVE, SUITE 302
FLAGSTAFF, AZ 86001
Radiology (Diagnostic Radiology)
77 W FOREST AVE, SUITE 101
FLAGSTAFF, AZ 86001
Radiology (Diagnostic Radiology)
77 W FOREST AVE, SUITE 101
FLAGSTAFF, AZ 86001

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487651071, enumerated as an "organization" on June 28, 2005.

The provider is located at 77 W FOREST AVE STE 107 FLAGSTAFF, AZ 86001 and the phone number is (928) 773-2530.

Dentist with taxonomy code 1223P0106X and a focus in Oral and Maxillofacial Pathology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.