JANISSE DENTAL INC NPI 1073183893

NPI Information

NPI: 1073183893
Provider Name: JANISSE DENTAL INC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
2615 N 4TH ST STE 6
FLAGSTAFF, AZ
ZIP 86004
Phone: (928) 774-4761
Get Directions

JANISSE DENTAL INC is a dental clinic center in Flagstaff, AZ. JANISSE DENTAL INC NPI is 1073183893. The provider is registered as an organization entity type.

The provider's business location address is:

2615 N 4TH ST STE 6
FLAGSTAFF, AZ
ZIP 86004-812
Phone: (928) 774-4761

The provider's authorized official is Robert Janisse .
The authorized official title is Owner and has the following contact phone number (925) 774-4761.

The enumeration date for this NPI number is 6/25/2021 and was last updated on 6/25/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental			Yes
2	261QS0112X	Clinic/Center	Oral and Maxillofacial Surgery			No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »