Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

COUNTRY CLUB DENTAL FLAGSTAFF PLLC
NPI 1508761032
Dentist - General Practice in Flagstaff, AZ

Q: What is Country Club Dental Flagstaff PLLC's NPI number?

The NPI number for Country Club Dental Flagstaff PLLC is 1508761032. It was assigned to this organization in the NPPES registry on October 13, 2026.

Q: What is Country Club Dental Flagstaff PLLC's specialty?

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

Active since October 13, 2026

5200 E CORTLAND BLVD STE C4, FLAGSTAFF, AZ 86004(520) 499-9151 Get Directions Write a Review

NPPES record added: October 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Country Club Dental Flagstaff Pllc NPPES

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

COUNTRY CLUB DENTAL FLAGSTAFF PLLC (NPI 1508761032) is a healthcare organization registered as a general practice in Flagstaff, Arizona and active in the NPI registry since October 2026. The organization lists George Salim Hariri, Manager, as its authorized official.

NPPES Registry Identity

NPI1508761032

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameCOUNTRY CLUB DENTAL FLAGSTAFF PLLC

Location Address5200 E CORTLAND BLVD STE C4Flagstaff, AZ 86004-9341

Mailing Address10810 N Tatum BlvdPhoenix, AZ 85028-6055 · (520) 499-9151

Phone(520) 499-9151

Organization SubpartYesParent: H Dental Group Llc

Authorized OfficialGeorge Salim HaririManager · (520) 499-9151

Enumeration DateOctober 13, 2026

NPPES CertifiedOctober 13, 2026

✔ NPI 1508761032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

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.

5200 E CORTLAND BLVD STE C4, Flagstaff, AZ 86004

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Other Providers at the Same Location NPPES

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

PAUL D WHITNEY DDS PC

Clinic/Center (Dental)

5200 E CORTLAND BLVD STE C4
FLAGSTAFF, AZ 86004

Coconino County (928) 526-4314

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 Country Club Dental Flagstaff PLLC's NPI number?

The NPI number for Country Club Dental Flagstaff PLLC is 1508761032. It was assigned to this organization in the NPPES registry on October 13, 2026.

Where is Country Club Dental Flagstaff PLLC located?

Country Club Dental Flagstaff PLLC is located at 5200 E Cortland Blvd Ste C4, Flagstaff, AZ 86004. The listed phone number is (520) 499-9151.

What is Country Club Dental Flagstaff PLLC'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 Country Club Dental Flagstaff PLLC was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.