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Flagstaff Endodontics

NPI 1083799639ActiveOrganization· Dentist, Endodontics· Flagstaff, AZ

Dentist, Endodontics in Flagstaff, Arizona, registered in NPPES in October 2006. The authorized official on file is Tania Maddy, Receptionist.

Overview

NPI1083799639
StatusActive
Entity typeOrganization
NPI issuedOct 25, 2006
Last updated in NPPESJan 18, 2017

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, Endodontics Primary1223E0200X6531AZ
Dentist, Endodontics1223E0200X2197AZ

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other endodontists in Flagstaff

All endodontists in Arizona