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Tuba City Regional Health Care Corporation

NPI 1194301234ActiveOrganization· Dentist, General Practice· Flagstaff, AZ

Dentist, General Practice in Flagstaff, Arizona, registered in NPPES in March 2021, part of Tuba City Regional Healthcare Corporation. The authorized official on file is Lynette Bonar, Chief Executive Officer.

Overview

NPI1194301234
StatusActive
Entity typeOrganization (subpart)
Parent organizationTuba City Regional Healthcare Corporation
NPI issuedMar 19, 2021
Last updated in NPPESMar 19, 2021
Certified by providerMar 19, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X——

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 general dentists in Flagstaff

All 51 general dentists in Flagstaff · All general dentists in Arizona