WEEDMAN DENTAL PLLC NPI 1275345035

NPI Information

  • NPI: 1275345035
  • Provider Name: WEEDMAN DENTAL PLLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 710 N BEAVER ST BLDG 5
    FLAGSTAFF, AZ
    ZIP 86001
  • Phone: (928) 774-4726

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NPI Details

WEEDMAN DENTAL PLLC is a dental clinic center in Flagstaff, AZ. WEEDMAN DENTAL PLLC NPI is 1275345035. The provider is registered as an organization entity type.

The provider's business location address is:

710 N BEAVER ST BLDG 5
FLAGSTAFF, AZ
ZIP 86001-146
Phone: (928) 774-4726
Fax: (833) 895-1327

The provider's authorized official is Mikaela Lynn Weedman .
The authorized official title is Owner Dentist and has the following contact phone number (602) 680-0322.

The enumeration date for this NPI number is 1/20/2025 and was last updated on 1/20/2025.

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
1261QD0000XClinic/CenterDentalYes

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: 11/21/2025

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