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

HAVASU DENTAL GROUP 1 PLLC
NPI 1508776907
Dentist - General Practice in Kingman, AZ

Active since September 09, 2026
2002 N STOCKTON HILL RD STE 104, KINGMAN, AZ 86401(520) 499-9151 Get Directions Write a Review

NPPES record added: September 9, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Havasu Dental Group 1 Pllc NPPES

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

HAVASU DENTAL GROUP 1 PLLC (NPI 1508776907) is a healthcare organization registered as a general practice in Kingman, Arizona and active in the NPI registry since September 2026. The organization lists George Salim Hariri, Manager, as its authorized official.

NPPES Registry Identity

NPI1508776907
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameHAVASU DENTAL GROUP 1 PLLC
Location Address2002 N STOCKTON HILL RD STE 104Kingman, AZ 86401-4698
Mailing Address10810 N Tatum Blvd Ste 102-2005Phoenix, AZ 85028-6055 · (520) 499-9151
Phone(520) 499-9151
Organization SubpartYesParent: H Dental Group Llc
Authorized OfficialGeorge Salim HaririManager · (520) 499-9151
Enumeration DateSeptember 9, 2026
NPPES CertifiedSeptember 9, 2026
✔ NPI 1508776907 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.
2002 N STOCKTON HILL RD STE 104, Kingman, AZ 86401
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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 3

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

KAMYAB
Internal Medicine
2002 N STOCKTON HILL RD STE 104
KINGMAN, AZ 86401
Mohave County (928) 692-1010
DR. MAHMOOD KHAN M.D.
Internal Medicine
2002 N STOCKTON HILL RD STE 104
KINGMAN, AZ 86401
Mohave County (928) 692-1010
TIKI BRUMMUND MA, LISAC, BHP
Counselor (Addiction (Substance Use Disorder))
2002 N STOCKTON HILL RD STE 104
KINGMAN, AZ 86401
Mohave County (928) 718-4800

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 Havasu Dental Group 1 PLLC's NPI number?

The NPI number for Havasu Dental Group 1 PLLC is 1508776907. It was assigned to this organization in the NPPES registry on September 9, 2026.

Where is Havasu Dental Group 1 PLLC located?

Havasu Dental Group 1 PLLC is located at 2002 N Stockton Hill Rd Ste 104, Kingman, AZ 86401. The listed phone number is (520) 499-9151.

What is Havasu Dental Group 1 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 Havasu Dental Group 1 PLLC was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.