Organization · Type 2 NPI

Country Club Dental Flagstaff PLLC

General Practice Dentistry · Flagstaff, AZ

NPI number 1508761032 Active

Practice location

5200 E Cortland Blvd Ste C4
Flagstaff, AZ 86004-9341

Call (520) 499-9151 Map

Mailing address

10810 N Tatum Blvd
Phoenix, AZ 85028-6055

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XNone listed

General Practice Dentistry: 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.

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About NPI 1508761032

Country Club Dental Flagstaff PLLC's National Provider Identifier is 1508761032, issued on Oct 13, 2026. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Flagstaff, AZ. The record was last updated on Oct 13, 2026.