CEDAR AVE FAMILY DENTISTRY LLC
NPI 1508684887
Clinic/Center - Dental in Flagstaff, AZ

Active since September 26, 2024
2010 E CEDAR AVE, FLAGSTAFF, AZ 86004(928) 774-3851 Get Directions Write a Review

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 8, 2024, Sep 26, 2024 (2 updates tracked since 2024).

About Cedar Ave Family Dentistry Llc NPPES

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

CEDAR AVE FAMILY DENTISTRY LLC (NPI 1508684887) is a healthcare organization registered as a dental in Flagstaff, Arizona and active in the NPI registry since September 2024. The organization lists Kevin Chittenden, Owner, as its authorized official.

NPPES Registry Identity

NPI1508684887
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameCEDAR AVE FAMILY DENTISTRY LLC
Location Address2010 E CEDAR AVEFlagstaff, AZ 86004-1621
Mailing Address2010 E Cedar AveFlagstaff, AZ 86004-1621 · (425) 870-3325
Organization SubpartNo
Authorized OfficialKevin ChittendenOwner · (425) 870-3325
Enumeration DateSeptember 26, 2024
Last NPPES UpdateOctober 8, 20242 updates tracked since enumeration
NPPES CertifiedOctober 8, 2024
NPI 1508684887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
2010 E CEDAR AVE, Flagstaff, AZ 86004

Other Identifiers 2

Other1528551603AZ · Arizona
Other1538783360AZ · Arizona

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.

Dentist (General Practice)
2010 E CEDAR AVE
FLAGSTAFF, AZ 86004
Dentist (General Practice)
2010 E CEDAR AVE
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 Cedar Ave Family Dentistry LLC's NPI number?

The NPI number for Cedar Ave Family Dentistry LLC is 1508684887. It was assigned to this organization in the NPPES registry on September 26, 2024.

Where is Cedar Ave Family Dentistry LLC located?

Cedar Ave Family Dentistry LLC is located at 2010 E Cedar Ave, Flagstaff, AZ 86004. The listed phone number is (928) 774-3851.

What is Cedar Ave Family Dentistry LLC'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 Cedar Ave Family Dentistry LLC was last updated on October 8, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.